Uterine-sparing prolapse surgery, also known as hysteropexy, is performed to treat women with uterine prolapse. This procedure focuses on repairing the prolapse without removing the uterus, resulting in faster recovery and lower complication rate.
Pelvic Organ Prolapse Treatment
The appropriate treatment for pelvic organ prolapse depends on the patient’s:
- Severity of the prolapse
- Symptoms experienced
- Overall health and preferences
- Activity level
- Desire for fertility
The surgeon’s procedure choice and expertise will also determine whether a patient undergoes hysteropexy.
Why Individuals Choose Uterine-Sparing Prolapse Surgery
Women may opt for uterine-sparing surgery to avoid a hysterectomy, as it is less risky and has a shorter recovery time. This option is also preferred by those who want to avoid the complications associated with synthetic mesh. Additionally, lifestyle changes, personal beliefs, pregnancy desires, and the importance of the uterus and cervix in sexual function influence the decision to choose uterine-sparing surgery.
Benefits of Uterine-Sparing Prolapse Surgery
Women undergoing uterine-sparing prolapse surgery may experience the following benefits:
- Less intraoperative bleeding
- Preservation of pelvic anatomy
- Shorter operating time
- Faster recovery
- Shorter hospital stays
- Reduced risk
Surgical Techniques
The five techniques for uterine-sparing prolapse surgery include:
- Manchester operation: The oldest and riskiest approach, with risks such as subfertility, dyspareunia, prolonged labor, infertility, dysmenorrhea, pregnancy loss, and high failure and recurrence rates.
- Uterosacral ligament fixation: The cardinal ligaments pull the cervix upwards into the midline. This method carries significant risks.
- Sacrospinous ligament fixation: The cervix and uterosacral ligament are attached to the right sacrospinous ligament. This procedure is safer and more effective compared to vaginal hysterectomy.
The other two methods are colpocleisis and iliococcygeal suspension.
Patients should consult their surgeon and physician to understand the benefits and risks of each technique and determine the best option for them.
What to Expect During Surgery
The surgeon will use laparoscopy to repair supporting ligaments and preserve the uterus, while suturing the intact lower portion of damaged uterosacral ligaments. The surgery can be performed using abdominal, vaginal, laparoscopic, or robotic methods, with the best approach depending on the patient’s overall health and the surgeon’s expertise.
Choose UCI Pelvic Health Center for Hysteropexy
If you are experiencing symptoms of uterine prolapse but don’t want to undergo hysterectomy, a hysteropexy at UCI Pelvic Health Center can be an effective alternative treatment. Our expert team specializes in uterine-sparing prolapse surgery, which preserves your pelvic anatomy, reduces surgical risks, and promotes faster recovery compared to traditional hysterectomy. By choosing hysteropexy, you avoid the complications associated with synthetic mesh and maintain the natural function of your uterus and cervix.