Fourteen-year experience with laparoscopic ventrosuspension in patients with retroverted and retroflected uterus and pelvic pain syndromes.
J Minim Invasive Gynecol
; 17(6): 749-53, 2010.
Article
in En
| MEDLINE
| ID: mdl-20955984
ABSTRACT
BACKGROUND:
In women with a retroverted uterus, who have dyspareunia, chronic pelvic pain, or dysmenorrhea, laparoscopic ventrosuspension of the uterus has been reported effective in achieving symptom relief. STUDYOBJECTIVE:
To critically review our experience with our method of laparoscopic ventrosuspension.DESIGN:
Cohort study (Canadian Task Force classification II-3).SETTING:
Tertiary care center. PATIENTS Sixty-three women who had undergone laparoscopic ventrosuspension for treatment of pain syndromes during 1995 through 2008.INTERVENTIONS:
Laparoscopic ventrosuspension, and a questionnaire about the long-term outcome of the operation. MEASUREMENTS AND MAINRESULTS:
There were no adverse events except for 2 repeat operations within 3 postoperative days. Forty-nine women (77.8%) answered the questionnaire about long-term outcome, and in these patients, significant pain relief was achieved (p <.001). Pain levels decreased, based on a numeric rating scale, from a mean (SD) of 6.35 (1.92) to 0.97 (1.40) in patients without endometriosis, and from 6.93 (2.09) to 3.80 (2.08) in those with endometriosis. Of 34 patients without endometriosis, 1 (2.9%) stated that the operation had not led to symptom relief, compared with 4 of 15 (26.7%) with endometriosis (p = .03).CONCLUSION:
Laparoscopic ventrosuspension is clearly beneficial in women with a retroverted and retroflected uterus who have pelvic pain syndromes, even in the long term.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Uterine Diseases
/
Uterus
/
Laparoscopy
/
Pelvic Pain
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
J Minim Invasive Gynecol
Journal subject:
GINECOLOGIA
Year:
2010
Type:
Article
Affiliation country:
Austria