Table of Contents
ISRN Obstetrics and Gynecology
Volume 2013, Article ID 748232, 5 pages
http://dx.doi.org/10.1155/2013/748232
Clinical Study

A New Surgical Method of Suprapubic and Extraperitoneal Approach with Uterine Preservation for Pelvic Organ Prolapse: Kurt Extraperitoneal Ligamentopexy

1Tepecik Teaching and Research Hospital, Gynecology and Obstetrics Department, Gaziler Caddesi No. 468, Yenişehir, 35330 Izmir, Turkey
2Kent Hospital, Gynecology and Obstetrics Department, 8229/1 Sokak No. 56, Cigli, 35580 Izmir, Turkey

Received 12 November 2013; Accepted 9 December 2013

Academic Editors: F. Carmona and J. Xercavins

Copyright © 2013 Sefa Kurt et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To introduce an alternative surgical approach for the optimal treatment of pelvic organ prolapse (POP). Methods. Twenty symptomatic women with grades 2–4 POP diagnosis who opted to choose this alternative surgery were retrospectively analyzed. Results. A total of 22 cases were included. The mean age of the patients was years (29–72 years) with a mean gravid and parity of and , respectively. The mean body-mass index of the patients was . Nine (45%) patients were premenopausal and 11 (55%) patients were postmenopausal. Uterine descensus was present in all patients, and additionally cystorectocele in 9 patients (45%), cystocele in 6 patients (30%), rectocele in 4 patients (20%), and elangatio colli in 6 patients (30%) were diagnosed. In addition to the alternative surgery, Manchester procedure and anteroposterior vaginal wall repair or Burch procedure was performed where necessary. Mean follow-up time was months (6–171 months). No recurrence of POP occurred. Conclusions. Suprapubic, extraperitoneal, and minimally invasive ligamentopexy of the round ligament to the anterior rectus fascia offers an alternative to conventional POP surgery with favorable outcomes without any recurrence.