The comparison of success rate and quality of life due to three types of uterine sparing prolapse surgery

Uterine prolapse has been traditionally treated with vaginal hysterectomy and cuff suspension . Recently there is renewed interest in uterine conservation during prolapse surgeries. Prolapse repair with uterine sparing has benefits as shorten time surgery, lesser bleeding, preserving fertility, less invasion and faster recovery. The purpose of this study was to evaluate the success rate and quality of life in women who have undergone one of three types of uterine sparing prolapse surgery. Methods and MaterialsThis retrospective study was performed in Imam Khomeini Hospital, Tehran University of Medical Sciences. The data of 99 patients with uterine prolapse who underwent one of three types of uterine sparing surgery during three years were reviewed and compared in success rate and quality of life.ResultsThe study was based on patients' data files, physical examination and follow up, until 12 months after surgery. The success rate of sacral hysteropexy was higher than two other groups (94%).The highest recurrence was in sacrospinous, in the Ba point ( -2.06± 506) and C point (-2.1±1.084) . The quality of life in the Manchester and sacral hysteropexy group was similar and higher than sacrospinous group.(P Value≤0.01).Early complications after sacral hysteropexy were ileus and defecatory disorder. ConclusionThree uterine prolapse surgeries had success rate higher than 60%. All three surgical groups had a good quality of life and satisfaction 12 months after procedure. The highest recurrence was in sacrospinous in Ba and C points. Finding mesh complications following surgery requires long-term follow-up.