Case Reports

Laparoscopic Hysterosacropexy: Is it a Safe Option for Fertility Spearing?

Abstract

Objective: In case of uterine prolapse, hyseroxacropexy, a conservative surgical approach, which allows the sparing of body image and sexuality, could be the choice in fertile women. Few information are reported on subsequent pregnancy after surgery.
Case report: A 33 years-old women with symptomatic prolapse underwent a laparoscopic hysterosacropexy. Subsequently she expressed her pregnancy desire and she got pregnant. A scheduled caesarean section was performed without complication. The subsequent follow-up was regular: the patient was asymptomatic and presented no sign of prolapse recurrence.
Conclusion: In motivate and well counselled patient, informed about the risk of prolapse recurrence, pregnancy could be considered after hysterosacropexy.

1. Troiano L, Pregazzi R, Bortoli P, Madai M. Il descensus urogenitale e perineale nel postpartum [Post-partum urogenital and perineal prolapse]. Minerva Ginecol. 2000;52(7-8):299-305. Italian.
2. Adegoke TM, Vragovic O, Yarrington CD, Larrieux JR. Effect of pregnancy on uterine-sparing pelvic organ prolapse repair. Int Urogynecol J. 2020;31(3):657-662.
3. Price N, Slack A, Jackson SR. Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse. BJOG. 2010;117(1):62-8.
4. Meriwether KV, Balk EM, Antosh DD, Olivera CK, Kim-Fine S, Murphy M, et al. Uterine-preserving surgeries for the repair of pelvic organ prolapse: a systematic review with meta-analysis and clinical practice guidelines. Int Urogynecol J. 2019;30(4):505-522.
5. Rahmanou P, White B, Price N, Jackson S. Laparoscopic hysteropexy: 1- to 4-year follow-up of women postoperatively. Int Urogynecol J. 2014;25(1):131-8.
6. Pilka R, Gágyor D, Huml K, Soviar P, Benická A. Laparoscopic hysterosacropexy with subsequent pregnancy and delivery by cesarean section: case report with short term follow-up. Ceska Gynekol. 2019;84(6):430-434.
7. Szymanowski P, Szepieniec WK, Stuwczyński K, Gruszecki P. Cesarean section after laparoscopic hysterosacropexy with Richardson's lateral repair and Burch operation-Case report. Int J Surg Case Rep. 2019;59:185-189.
Files
IssueVol 17, No 3 (September 2023) QRcode
SectionCase Reports
DOI https://doi.org/10.18502/jfrh.v17i3.13545
Keywords
Hysterosacropexy Laparoscopy Pelvic Pain Pregnancy Prolapse Recurrence Risk
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Algeri P, Colonna L, Bergamelli S, Imbruglia L, Mastrocola N, Von Wunster S. Laparoscopic Hysterosacropexy: Is it a Safe Option for Fertility Spearing?. J Family Reprod Health. 2023;17(3):191-193.