PFD Week 2018-Cervical Elongation in the Setting of Uterine Preservation

Video Transcription

Video Summary

In the video, Carson Kaeser and Mickey Cram from the Christ Hospital in Cincinnati discuss the management of cervical elongation in a patient who desired future fertility. The patient had previously undergone sacrohystopexy with rectocele and experienced a recurrence of prolapse while on vacation. Upon re-examination, it was found that her cervix was at the level of the hymen with good apical support. The patient was diagnosed with cervical elongation, cystocele, and rectocele and underwent a partial trachelectomy with anterior and posterior repair. The procedures involved making incisions circumferentially, dissecting and removing the cervix, suturing the cervical canal, addressing the cystocele with an anterior repair, and performing a posterior repair. Additionally, a balloon Foley catheter was inserted to prevent cervical stenosis. A cystoscopy revealed a rectocele and widened genital hiatus.

Asset Subtitle

Carson Tyler Kaeser, MD

Meta Tag

Category Pelvic Organ Prolapse

Category Surgery - Vaginal Procedures

Concept Recurrent Pelvic Organ Prolapse

Concept Cervical Elongation

Concept Partial Trachelectomy

Concept Anterior Repair

Concept Posterior Repair

Keywords

cervical elongation

future fertility

partial trachelectomy

anterior repair

posterior repair

Pelvic Organ Prolapse

Surgery - Vaginal Procedures

Recurrent Pelvic Organ Prolapse

Cervical Elongation

Partial Trachelectomy

Anterior Repair

Posterior Repair