PFD Week 2018-Sacrospinous Hysteropexy in the Setting of Procidentia

Video Transcription

Video Summary

The video discusses a case of a sacrospinous ligament hysteropexy performed on a 63-year-old patient with pelvic organ prolapse and hydronephrosis. The patient had previously failed conservative management and sought surgical repair. Traditional treatments such as vaginal hysterectomy and mesh were not suitable options due to the patient's medical history. The sacrospinous hysterepexy procedure was chosen as it offers uterine preservation and shorter operating time. The procedure involved marking the ureters and uterine arteries, reducing the prolapse, making incisions, and placing sutures to elevate the cervix towards the right sacrospinous ligament. The patient was healing well during the post-operative visit. Sacrospinous hysterepexy is considered a viable alternative technique for uterine prolapse. Further research is needed for long-term efficacy. No credits were mentioned in the transcript.

Asset Subtitle

Bobby Allen Garcia, MD

Meta Tag

Category Pelvic Organ Prolapse

Category Surgery - Vaginal Procedures

Concept Sacrospinous Ligament Hysteropexy

Concept Pelvic Organ Prolapse

Concept Uterine Preservation

Concept Hysterectomy

Concept Apical suspension

Keywords

sacrospinous ligament hysteropexy

pelvic organ prolapse

hydronephrosis

uterine preservation

sacrospinous hysterepexy

Pelvic Organ Prolapse

Surgery - Vaginal Procedures

Sacrospinous Ligament Hysteropexy

Uterine Preservation

Hysterectomy

Apical suspension