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»