E-Posters-A 5-year Analysis of effect on Transvaginal High Uterosacral Ligament Suspension for Middle Compartment Defect

A 5-year Analysis of effect on Transvaginal High Uterosacral Ligament Suspension for Middle Compartment Defect - Yongxian Lu, MD

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This document describes a retrospective analysis of 79 women who underwent transvaginal high uterosacral ligament suspension (HUS) with or without additional anterior and/or posterior repair for middle compartment defect. The study aimed to assess the five-year outcomes of this procedure. The overall surgery success rate was 86.3% according to specific criteria, and the prolapse recurrence rates were low. No apical prolapse occurred, and none of the recurrent women required retreatment. The subjective satisfaction rate was 90.2%. There were minimal rates of intraoperative ureteral kinking and postoperative morbidity. The study concluded that transvaginal HUS offers good long-term anatomical results and is a valuable surgical option for moderate-to-severe pelvic organ prolapse. The authors recommend the procedure for clinical application given its minimal traumatic nature and excellent vault suspension. <br /><br />This study contributes to the growing body of research on non-mesh surgical treatments for pelvic organ prolapse, which has gained attention since the FDA issued warnings about the complications associated with transvaginal mesh. The use of native tissue procedures, such as high uterosacral suspension, has been shown to be effective in reducing pelvic organ prolapse. This study focused specifically on the long-term outcomes of transvaginal HUS, with or without additional repairs. The results highlight the efficacy and safety of this procedure, supporting its use as a reconstructive surgery for middle compartment defect in pelvic organ prolapse cases.

Keywords

retrospective analysis

transvaginal high uterosacral ligament suspension

anterior repair

posterior repair

middle compartment defect

surgery success rate

prolapse recurrence rates

subjective satisfaction rate

intraoperative ureteral kinking

postoperative morbidity