Clinical outcome after laparoscopic assisted vaginal hysterectomy with transvaginal uterosacral ligament fixation

• Main Authors: Pei-Ju Wu, Ling-Hong Tseng, Shuenn-Dyh Chang, Chyi-Long Lee
• Format: Article
• Language: English
• Published: Elsevier 2012-09-01
• Series: Taiwanese Journal of Obstetrics & Gynecology
• Subjects: laparoscopic assisted vaginal hysterectomy; transvaginal; uterosacral ligament fixation; vaginal cuff support
• Online Access: http://www.sciencedirect.com/science/article/pii/S1028455912001222

Objective: We report here the clinical outcome of a simplified method to suspend the vaginal cuff during laparoscopic assisted vaginal hysterectomy. Materials and Methods: This is a retrospective study. Fifty patients underwent laparoscopic assisted vaginal hysterectomy and received transvaginal uterosacral ligament fixation for vaginal cuff support (LAVHUS). Follow-up examinations were conducted for at least 24 months and included vaginal examination with prolapse grading using the POP-Q system. Subjective outcomes were measured using a questionnaire that asked patients to describe postoperative lower urinary tract symptoms and satisfaction with the procedure. Results: The mean follow-up duration was 106 weeks (range 102–120 weeks).The postoperative POP-Q point C and total vaginal length were effectively sustained during this period. There were no intraoperative or postoperative complications, and no adverse postoperative lower urinary tract symptoms were reported. Conclusion: The present study demonstrated satisfactory subjective and objective clinical outcomes following LAVHUS.