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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (6): 906-909    DOI: 10.12891/ceog4895.2019
Original Research Previous articles | Next articles
Anatomical outcome and patient satisfaction after two-stitch utero-sacral ligament suspension
H. H. Chill1, †, *(), R. H. Yahya1, †, M. Olek1, S. Herzberg1, S. Lesser1, D. Shveiky1
1Department of Obstetrics and Gynecology, Hadassah Medical Center, Ein-Kerem, Jerusalem, Israel
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Purpose of Investigation: High uterosacral ligament suspension (USLS) performed after vaginal hysterectomy is a popular technique for apical vaginal suspension. This technique was originally described using three stitches on each ligament. The aim of this study was to determine anatomical and clinical cure rates, as well as patient satisfaction after transvaginal hysterectomy and two-stitch uterosacral ligament suspension. Materials and Methods: A retrospective cohort study including all patients who underwent transvaginal hysterectomy and two-stitch USLS between January 2012 and December 2014. Preoperative as well as postoperative clinical data was gathered including POP-Q measurements of prolapse. Primary outcomes were anatomical cure defined as no POP-Q point above stage 1 and clinical cure defined as a composite of no prolapse symptoms, no prolapse beyond the hymen, and no need for treatment of prolapse. Patient satisfaction was evaluated using the Patient Global Impression of Improvement (PGI-I) questionnaire validated in the Hebrew language for this study. Statistical analyses included univariate and logistic regression methods. Results: Eighty-two women underwent vaginal hysterectomy and USLS during the study period. Follow up data were available for 66 women. At a median follow-up of 14.5 months, all relevant POP-Q measures were significantly improved compared to preoperatively. Anatomical cure was 87.8% and clinical cure rate was 95.4%. Patient satisfaction was high at 100%, stating that their prolapse symptoms were much better or exceptionally better postoperatively. Conclusion: Transvaginal hysterectomy and two-stitch uterosacral ligament suspension has high cure and patient satisfaction rates.

Key words:  Pelvic organ prolapse (POP)      Pelvic reconstructive surgery      Urogynecology     
Published:  10 December 2019     
*Corresponding Author(s):  H. H. CHILL     E-mail:
About author:  Contributed equally.

Cite this article: 

H. H. Chill, R. H. Yahya, M. Olek, S. Herzberg, S. Lesser, D. Shveiky. Anatomical outcome and patient satisfaction after two-stitch utero-sacral ligament suspension. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 906-909.

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