Document Detail


Uterine preservation during surgery for uterovaginal prolapse: a review.
MedLine Citation:
PMID:  15517676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The traditional surgical treatment for uterovaginal prolapse has been vaginal hysterectomy. For many reasons, women may request uterine preservation at the time of prolapse surgery. The purpose of this paper is to review the medical literature pertaining to the role of uterine preservation during reconstructive surgery for uterovaginal prolapse. A MEDLINE search of literature in the English language (1966 to current) was carried out using the keywords 'hysterectomy', 'hysteropexy', 'uterine preservation', 'uterine suspension' and 'uterovaginal prolapse.' Fourteen articles primarily addressing the surgical repair of uterovaginal prolapse with uterine preservation were included in this review. Papers primarily addressing other forms of pelvic organ prolapse, incontinence or obliterative procedures were excluded. Existing procedures and their clinical outcomes were reviewed. The current literature suggests that uterine preservation during surgery for uterovaginal prolapse may be an option in appropriately selected women who desire it; prospective, randomized trials are needed to corroborate this.
Authors:
Aparna Diwan; Charles R Rardin; Neeraj Kohli
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  15     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-11-01     Completed Date:  2004-11-30     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  286-92     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Brigham and Women's Hospital/Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. adiwan1@partners.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Follow-Up Studies
Gynecologic Surgical Procedures / methods
Humans
Hysterectomy, Vaginal / methods*
Hysteroscopy / methods*
Middle Aged
Organ Preservation
Risk Assessment
Surgical Procedures, Minimally Invasive / methods
Treatment Outcome
Uterine Prolapse / diagnosis,  surgery*
Uterus

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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