Clinical observation of 2 patients and a literature review of pregnancy outcome after uterine-sparing apical suspension for pelvic organ prolapse

Eur J Obstet Gynecol Reprod Biol. 2023 Jan:280:89-92. doi: 10.1016/j.ejogrb.2022.10.026. Epub 2022 Nov 10.

Abstract

Objective: To observe pregnancy postoperatively and long-term follow-up after uterine-sparing apical suspension for pelvic organ prolapsed (POP).

Study design: We report 2 patients who delivered newborns after uterine-sparing apical suspension for pelvic organ prolapse at our center and a literature review on this topic.

Results: The patients' ages were 26 and 32 years at their respective times of surgery. The follow-up times were 7 and 8 years. These patients became pregnant at 52 and 46 months after surgery, and delivered by cesarean section at term. There was no re-prolapse at follow-ups of 15 and 10 months postpartum. The results were consistent with those reported in the literature.

Conclusion: Patients with POP who have reproductive requirements can benefit from surgical treatment, and this benefit is maintained after cesarean section.

Synopsis: Observation of 2 patients who delivered newborns after uterine-sparing apical suspension for pelvic organ prolapsed at our center and a literature review.

Keywords: Delivery; Manchester operation; Pregnancy; Uterine prolapse; Uterosacral ligament suspension.

Publication types

  • Review

MeSH terms

  • Adult
  • Cesarean Section
  • Female
  • Gynecologic Surgical Procedures / methods
  • Humans
  • Infant, Newborn
  • Ligaments / surgery
  • Pelvic Organ Prolapse* / surgery
  • Pregnancy
  • Pregnancy Outcome*
  • Treatment Outcome