دورية أكاديمية

Pregnancy outcomes after transvaginal sacrospinous hysteropexy.

التفاصيل البيبلوغرافية
العنوان: Pregnancy outcomes after transvaginal sacrospinous hysteropexy.
المؤلفون: Cavkaytar, Sabri1, Kokanalı, Mahmut Kuntay1 kuntaykokanali@gmail.com, Tasdemir, Umit1, Doganay, Melike1, Aksakal, Orhan1
المصدر: European Journal of Obstetrics & Gynecology & Reproductive Biology. Sep2017, Vol. 216, p204-207. 4p.
مصطلحات موضوعية: *UTERINE prolapse, *PELVIC organ prolapse, *CESAREAN section, *PREMATURE labor, *CHILDBIRTH, *SURGERY, *UTERINE surgery, *GYNECOLOGIC surgery, *LONGITUDINAL method, *EVALUATION of medical care, *PATIENT satisfaction, *PREGNANCY, *QUESTIONNAIRES, *TREATMENT effectiveness
مستخلص: Aim: To evaluate the pregnancy outcomes in women who underwent transvaginal sacrospinous hysteropexy with the review of the literature STUDY DESIGN: 54 women who underwent transvaginal sacrospinous hysteropexy due to ≥grade 2 uterine prolapse during six-year period were identified from a computer based database. 8 of these who had pregnancy resulted in live birth subsequent to transvaginal sacrospinous hysteropexy were enrolled in this study. They were examined in case of pelvic organ prolapse recurrence and were questioned about their current self satisfaction status and PISQ-12 questionnaire.Results: The median age of women was 36 years (range 29-43 years). All of the women were multiparous and there were no women with a previous cesarean section. All of the subsequent conceptions following operation occured spontaneously. The median time between hysteropexy and conception was 16 months (range 10-30 months). The pregnancies continued at least 37 weeks with only one preterm delivery (due to twin pregnancy). All 8 pregnancies were delivered by cesarean section. The median follow-up period after cesarean section was 45 months (range 7-60 months). Majority of women (7/8, 87.5%) were satisfied with current outcomes of sacrospinous hysteropexy and PISQ12 questionnaire scores revealed improvement in 87.5% (7/8) of women.Conclusion: Transvaginal sacrospinous hysteropexy is an appropriate surgical treatment method for symptomatic uterovaginal descensus in women who wish to preserve their uterine and future childbearing. And cesarean section is a reliable and satisfactory delivery route for women who underwent transvaginal sacrospinous hysteropexy. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:03012115
DOI:10.1016/j.ejogrb.2017.08.003