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- Title
Management of uterine prolapse: is hysterectomy necessary?
- Authors
Jefferis, Helen; Jackson, Simon Robert; Price, Natalia
- Abstract
Key content: Management of uterine prolapse is currently heavily influenced by patient and surgeon preferences.The traditional approach to uterine prolapse is vaginal hysterectomy. However, this does not address the underlying deficiency in connective tissue pelvic floor support, and prolapse recurrence is common.Uterine preservation surgery is increasing in popularity, both with surgeons and patients; there is currently little evidence to show superior outcome to hysterectomy.Fertility preservation remains the one absolute indication for hysteropexy. Other potential advantages include stronger apical support and reduced vaginal surgery.Colpocleisis remains a valid option for a small cohort of patients. Learning objectives: Options for the management of uterine prolapse.How to help patients decide on a management plan.
- Publication
Obstetrician & Gynaecologist, 2016, Vol 18, Issue 1, p17
- ISSN
1467-2561
- Publication type
Article
- DOI
10.1111/tog.12220