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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (1): 109-111    DOI: 10.12891/ceog3753.2018
Case Report Previous articles | Next articles
Modified Gilliam-Doleris hysteropexy for juvenile uterovaginal prolapse
K. Kai1, 2, *(), Y. Kai1, M. Nishida1, K. Nasu1, 2, S. Iwanaga3, H. Narahara1
1 Department of Obstetrics and Gynecology, Oita University Faculty of Medicine, Oita, Japan
2 Department of Obstetrics and Gynecology, Nakatsu Municipal Hospital, Oita, Japan
3 Iwanaga Ladies Clinic, Oita, Japan
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Abstract  
Purpose of investigation: Pelvic organ prolapse (POP) is common among multiparous, older, and/or obese women, but rare among nulliparous, young, and/or thin women. Uterus-sparing surgery for reproductive-age POP patients offers the potential for preserving fertility. The authors report a juvenile nulliparous POP woman treated with a modified Gilliam-Doleris hysteropexy. Results: The 19-yearold Japanese woman was referred to the authors after a vaginal pessary for her uterine prolapse failed; she also had a large ovarian tumor. She was 154 cm tall, weighed 54 kg, and had the body mass index 22.8 kg/m2. The POP was stage III. The authors performed a modified Gilliam-Doleris hysteropexy and concomitant right ovarian cystectomy. The patient has been free from recurrent prolapse for five years post-surgery. Conclusion: Although POP is rare in nulliparous juvenile women, it can occur with background cumulative risk. The modified technique of Gilliam-Doleris hysteropexy should be listed as a treatment option for juvenile POP patients.
Key words:  Fertility preservation      Juvenile      Pelvic organ prolapse      Round ligament of uterus      Surgical procedures      Uterine prolapse     
Published:  10 February 2018     
*Corresponding Author(s):  K. KAI     E-mail:  kenta9sp@oita-u.ac.jp

Cite this article: 

K. Kai, Y. Kai, M. Nishida, K. Nasu, S. Iwanaga, H. Narahara. Modified Gilliam-Doleris hysteropexy for juvenile uterovaginal prolapse. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(1): 109-111.

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https://ceog.imrpress.com/EN/10.12891/ceog3753.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I1/109

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