Document Detail


Uterus conserving prolapse surgery--what is the chance of missing a malignancy?
MedLine Citation:
PMID:  20135302     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION AND HYPOTHESIS: Recently, there has been a move towards uterine preserving surgery in the management of pelvic organ prolapse. The negative implications of such surgery have not been delineated. This study aims to identify the risk of finding an unexpected malignancy in these cases.
METHODS: A database containing details of vaginal hysterectomies performed over a 10-year period was searched. Women who underwent surgery for uterine prolapse were included. Women with other indications for surgery and those who presented with symptoms relating to endometrial or cervical malignancy were excluded. As this is a non-interventional observational study, formal ethical approval was not obtained.
RESULTS: Out of 517 women who underwent a vaginal hysterectomy for prolapse, four cases of endometrial carcinoma were identified giving an incidence of 0.8%.
CONCLUSIONS: Conserving a prolapsed uterus without further investigations runs the risk of missing women with endometrial malignancy.
Authors:
Arasee Renganathan; Robin Edwards; Jonathan R A Duckett
Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2010-02-05
Journal Detail:
Title:  International urogynecology journal     Volume:  21     ISSN:  1433-3023     ISO Abbreviation:  Int Urogynecol J     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-26     Completed Date:  2010-10-28     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  101567041     Medline TA:  Int Urogynecol J     Country:  England    
Other Details:
Languages:  eng     Pagination:  819-21     Citation Subset:  IM    
Affiliation:
Medway Maritime Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Humans
Hysterectomy
Middle Aged
Pelvic Organ Prolapse / complications,  surgery*
Uterine Neoplasms / complications,  diagnosis*,  epidemiology
Uterus

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


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