Department of Obstetrics and Gynecology, Urogynaecology Unit, Ain Shams University Hospital, Ramses Street (Ahmed Lotfy Elsayed Street), Abbassia, Postal Code 11566,Cairo, Egypt
Research Article
Comparison between abdominal sacral hysteropexy and vaginal sacrospinous hysteropexy for management of women with apical uterine descent : A randomized clinical trial
Author(s): Ihab Gomaa, Mohammad NasrAl Deen, Tamer Farouk Borg, Mahmoud Ghaleb, Asmaa Ragab* and Basem Aly Islam
Aim: Regarding surgical treatment of uterine prolapse, sacral colpopexy has been reported to show low risk of recurrence. Previous studies paid less attention to functional outcomes, peri-operative problems and surgical lengths of stay. We here attempted to determine which is clinically better, abdominal sacral hysteropexy (ASH) vs. vaginal sacrospinous hysteropexy (SSF) in women with apical prolapse.
Methods: Patients consisted of 72 women with apical uterine descent stage II or more according to POP-Q, who were treated in Ain Shams University Maternity Hospital. These patients were randomly divided into two groups; ASH (n=37) vs. SSF (35). Operative time, peri-operative complications, and length of stay were compared. Follow up visits at 4 weeks, 3 months, 6 months and 1 year were scheduled. We assessed r.. Read More»