Sacrohysteropexy with synthetic mesh for the management of uterovaginal prolapse

Objective: To study the ongoing results of sacrohysteropexy with Teflon mesh for treatment of uterovaginal prolapse in women who desire to preserve their uterus. Design: Prospective observational study. Setting: Tertiary referral urogynaecology unit. Participants: Thirteen consecutive women with uterovaginal prolapse wishing to retain their uterus operated on by one surgeon. Surgical method: Sacrohysteropexy with Teflon mesh attached to the uterine isthmus and to the anterior longitudinal ligament of the first or second sacral vertebra in a tension-free fashion. Main outcome measures: Subjective and objective cure of uterine prolapse and operative and post-operative complications. Results: The mean age of the women was 38 years (range 27-60). Eight women were multiparous. Twelve women had second degree uterine prolapse and one woman had third degree of uterine prolapse. Mesh was extended to correct a cystocele in one woman and a rectocele in three women. In four women colposuspension was performed at the same time. There were no intra- and post-operative complications. The mean follow up time was 16 months (range 4-49). At follow up only one woman had a first degree uterine prolapse. A total of seven women (53.8%) reported constipation which had been experienced pre-operatively by four women (30.8%). Conclusions: We consider the sacrohysteropexy with Teflon mesh a safe, effective and durable surgical procedure for the management of uterovaginal prolapse in young women and those who desire to retain their uterus.