Long-term outcomes of modified high uterosacral ligament vault suspension (HUSLS) at vaginal hysterectomy

Introduction and hypothesis The aim of this study was to prospectively evaluate long-term outcomes of a modified high uterosacral ligament suspension (HUSLS) at vaginal hysterectomy for pelvic organ prolapse (POP). Methods POP was assessed 5 years postoperatively in 42 women who underwent vaginal hy...

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Bibliographic Details
Published in:International Urogynecology Journal 2011-05, Vol.22 (5), p.577-584
Main Authors: Doumouchtsis, Stergios K., Khunda, Azar, Jeffery, Stephen T., Franco, Anna Virginia M., Fynes, Michelle M.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Female
Follow-Up Studies
Gynecology
Humans
Hysterectomy, Vaginal - methods
Ligaments - surgery
Medicine
Medicine & Public Health
Middle Aged
Original Article
Patient Satisfaction
Pelvic Organ Prolapse - surgery
Prospective Studies
Quality of Life
Retrospective Studies
Sexual Behavior
Surveys and Questionnaires
Time Factors
Treatment Outcome
Urology
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Summary:Introduction and hypothesis The aim of this study was to prospectively evaluate long-term outcomes of a modified high uterosacral ligament suspension (HUSLS) at vaginal hysterectomy for pelvic organ prolapse (POP). Methods POP was assessed 5 years postoperatively in 42 women who underwent vaginal hysterectomy and HUSLS for POP. Bladder, bowel, sexual function and quality of life (QoL) were evaluated. Results Preoperatively, 27/42 women had at least BW grade 2 uterine prolapse. At a mean follow-up period of 59.4 months (range: 40–79 months), two women had undergone surgical intervention for vault prolapse, 33 had no vault prolapse and six grade 1 vault prolapse. One woman declined vaginal examination. Twenty women were sexually active and 18 completed the PISQ-31. The mean total score for all domains was 91/125. On QoL assessments high scores were noted in all domains. Conclusions Modified HUSLS at vaginal hysterectomy is associated with satisfactory long-term objective and subjective outcomes, sexual function and quality of life scores.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-010-1325-8