Laparoscopic hysteropexy versus vaginal hysterectomy for the treatment of uterovaginal prolapse: a prospective randomized pilot study

2015 ◽  
Vol 26 (11) ◽  
pp. 1687-1694 ◽  
Author(s):  
Philip Rahmanou ◽  
Natalia Price ◽  
Simon R. Jackson
Keyword(s):  
Pilot Study ◽  
Vaginal Hysterectomy ◽  
Uterovaginal Prolapse

scholarly journals Trends in Hysterectomy for Genital Prolapse: Rural Experience

2013 ◽  
Vol 7 ◽  
pp. CMRH.S10804 ◽  
Author(s):  
Shakuntala Chhabra ◽  
Manjiri Ramteke ◽  
Sonali Mehta ◽  
Nisha Bhole ◽  
Yojna Yadav
Keyword(s):  
Coming Out ◽  
Vaginal Hysterectomy ◽  
Preoperative Evaluation ◽  
Genital Prolapse ◽  
Uterovaginal Prolapse ◽  
Preoperative Treatment ◽  
Genital Tract Infection ◽  
Surgical Morbidity ◽  
Mortality And Morbidity ◽  
Abnormal Vaginal Bleeding

The present study was conducted to investigate the trends of vaginal hysterectomy for genital prolapse in last 20 years by analyzing case records of affected women. During the analysis period, 4831 women underwent hysterectomy; records of 4223 (87.5%) were available. Of these, 911 (21.6%), 2.7% of 34,080 gynecological admissions, had vaginal hysterectomy for genital prolapse (study subjects). Eighty percent women who had vaginal hysterectomy for genital prolapse were over 40 years of age; however, most of these women had had the disorder for years before they presented. Only 4 (0.4%) women had not given birth, 874 (96%) women had had two or more births, and 383 (42%) had had 5 or more births. Having given birth was the major factor responsible for genital prolapse. In all, 94.2% of women presented with something coming out of the vagina.” Some women presented with abnormal vaginal bleeding or pain in abdomen as the chief complaint although they had had uterovaginal prolapse for years. There was no mortality and morbidity decreased over the years. There has been no change in the rate of vaginal hysterectomy for genital prolapse over the years. Surgical morbidity decreased trend, possibly because of the preoperative, intraoperative, and postoperative precautions taken, especially preoperative treatment of urinary and genital tract infection. Attempts need to be made to have safe births and a healthy life style so as to prevent genital prolapse and in case it occurs, therapy to prevent progression so that major interventions like hysterectomy are averted. Meticulous preoperative evaluation and planned therapy help in reducing surgical morbidity, if surgery becomes essential.

scholarly journals A Review of Comparison of Complications of Vaginal Hysterectomy with and without Concomitant Surgery for SUI: A 5 Years’ Experience at a Tertiary Care Hospital of Pakistan

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Raheela Mohsin Rizvi ◽  
Munnazza Akhtar ◽  
Nadeem Faiyaz Zuberi
Keyword(s):  
Vaginal Hysterectomy ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
International Classification Of Diseases ◽  
Medical Intervention ◽  
Uterovaginal Prolapse ◽  
Care Hospital ◽  
Cross Sectional ◽  
Efficient Treatment ◽  
Concomitant Surgery

Objective. The study was performed to review the complications of surgery for POP with or without surgery for SUI. This included the need for second procedure two years after the primary surgery.Study Design. We conducted a retrospective cross-sectional comparative study at the Aga Khan University, Karachi, Pakistan. International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) was used to identify women who underwent vaginal hysterectomy with anterior/posterior repair alone and those with concomitant tension-free vaginal tape surgery for urodynamic stress incontinence.Results. The 28 cases of VH/repair combined with TVT were compared for complications with 430 cases of VH with repair alone. The basic characteristics like age, BMI, and degree of prolapse showed no statistical difference among two groups. The main comorbidities in both groups were hypertension, diabetes, and bronchial asthma. We observed no significant differences in intraoperative and postoperative complications except for cuff abscess, need for medical intervention, and readmission following discharge from hospital, which were higher in cases with vaginal hysterectomy with concomitant TVT.Conclusions. Vaginal hysterectomy is an efficient treatment for uterovaginal prolapse with a swift recovery, short length of hospital stay, and rare serious complications. The addition of surgery for USI does not appear to increase the morbidity.

An audit of vaginal hysterectomy and pelvic floor repair for uterovaginal prolapse in South-East Nigeria

2020 ◽  
Vol 29 (2) ◽  
pp. 265
Author(s):  
MaradonaE Isikhuemen ◽  
KennethC Ekwedigwe ◽  
Ileogben Sunday-Adeoye
Keyword(s):  
Pelvic Floor ◽  
Vaginal Hysterectomy ◽  
Uterovaginal Prolapse ◽  
Pelvic Floor Repair

Vaginal hysterectomy for uterovaginal prolapse: what is the incidence of concurrent gynecological malignancy?

2014 ◽  
Vol 26 (3) ◽  
pp. 421-425 ◽  
Author(s):  
Themos Grigoriadis ◽  
Aikaterini Valla ◽  
Dimitrios Zacharakis ◽  
Athanasios Protopapas ◽  
Stavros Athanasiou
Keyword(s):  
Vaginal Hysterectomy ◽  
Uterovaginal Prolapse ◽  
Gynecological Malignancy

scholarly journals A pilot study evaluating the feasibility of non-descent vaginal hysterectomy for benign gynecological indications in women in rural India

2017 ◽  
Vol 6 (10) ◽  
pp. 4424
Author(s):  
Anjali Soni ◽  
Pawan Kumar Soni ◽  
Chanderdeep Sharma ◽  
Suresh Verma ◽  
Shivani Vashasit
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pilot Study ◽  
Blood Loss ◽  
Hospital Stay ◽  
Vaginal Hysterectomy ◽  
Vaginal Surgery ◽  
Pelvic Organ ◽  
Rural India ◽  
Duration Of Surgery ◽  
Abdominal Route

Background: Hysterectomy for benign indications is one of the common surgical procedures performed on women worldwide. Despite the available evidence favouring vaginal surgery still abdominal route is preferred in majority of women in rural India. Hence, this pilot study was done to determine the feasibility of Non-descent vaginal hysterectomy (NDVH) in rural India.Methods: All women planned for hysterectomy for benign indications (with no or minimal pelvic organ prolapse) during a period of six months were enrolled after taking informed consent and subsequently, underwent NDVH. Data was analyzed retrospectively with respect to duration of surgery, average blood loss, complications of surgery and duration of stay in the hospital.Results: All except one woman out of 37 women enrolled for the study had an un-eventful surgery with median duration of surgery [median 30 minutes; (range 30-55 minutes)], median hospital stay [(median 2 days) range 2-7 days], and minimal blood loss [median 50 ml (range 50-200 ml)]. There was one case of inadvertent cystotomy (diagnosed and repaired intra-operatively), and discharged in healthy condition on seventh post-operative day.Conclusions: NDVH is a safe option for hysterectomy (in women without pelvic organ prolapse) for benign indications even in rural India. It has been found to be associated with short hospital stay, minimal blood loss and short recovery time.

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