Laparoscopic management of uterine prolapsus | Ismail Biyik
Summary :
Anatomical support of the uterus is provided primarily by the pelvic diaphragm and then by the cardinal and sacrouterine ligaments . Compression of the ureters due to uterine prolapse, and bilateral hydronephrosis is not a common clinical condition . Uterus-sparing procedures aims to correct apical prolapse by attaching the lower uterus or cervix to a support structure [1]. Advantages of uterus-sparing prolapse correction techniques are a shorter operative time and less blood loss, but other advantages remains unproven. Laparoscopic pectopexy is an effective and alternative procedure for women with pelvic organ prolapse. This promosing surgical technique cold be an alternative to sacrocolpopexy procedure [2]. In this case report, we present the successful management of laparoscopic pectopexy in a woman with ureteral kinking and hydronephrosis due to uterine prolapse.
About Author :
Assistant Professor Ismail Biyik is still working at Kutahya Health Sciences University Department of Obstetrics and Gynecology in Turkey. His areas of interest are; urogynecology and minimally invasive gynecology. In his career, he has performed over 200 minimally invasive and urogynecological surgery. He also transfers his experience of urogynecology and minimally invasive techniques to trainees.
