WOMENS-HEALTH Messages for April, 2009: Re: UTERINEPROLAPSE: Uterus Sparing Surgery

Re: UTERINEPROLAPSE: Uterus Sparing Surgery - article- not hysterectomy

From: Hope Waltman (anonymous@obgyn.net)
Thu, 30 Apr 2009 17:38:18 -0500 (CDT)

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In reply to: nz: "Re: UTERINEPROLAPSE: I may have a mild uterine prolapse"

Uterus Sparing Surgery Is A Safe And Effective Treatment For Pelvic Organ Prolapse - article

In the first long-term follow-up study of uro-genital prolapse repair associated with uterus preservation, researchers showed that the surgery can be effective (vaginal prolapse of less than or equal to grade 2 and cervix and/or vaginal apex remaining well supported more than six centimeters above the hymen plane). Researchers also found that 82.97 percent of the 47 patients were satisfied with the treatment results. None of the patients required further surgery and few patients reported persisting symptoms. Three patients reported persistence of voiding symptoms and six patients reported persistence of storage symptoms. Two patients reported de novo urgency and four reported de novo urinary incontinence. Sexual activity was maintained in 95.5 percent of patients.

"This study is important because it is the first long-term look at uterus sparing surgery for pelvic organ prolapse," said Anthony Y. Smith, MD, an AUA spokesman. "The findings are encouraging, not only because the procedures were so effective, but also because they will help to dispel the myth that a hysterectomy is the only treatment for pelvic organ prolapse."

Costantini, E; Lazzeri, M; Zucchi, A; Mearini, L; Del Zingaro, M; Porena, M. Long-term follow-up of uterus sparing surgery for pelvic organ prolapse (POP). J Urol, suppl. 2009: 181, 4, abstract 1355.

http://www.medicalnewstoday.com/articles/147652.php

Best Regards, Hope Waltman, WHF Moderator http://www.hopeforfibroids.org

>At Wed, 29 Apr 2009, nz wrote:
>>I'm not sure though - as I really don't have any risk factors.
>>
>>I am in my early twenties
>>Not sexually active
>>Physically active
>>Obviously no child birth
>>
>>My vaginal canal depth (vagina opening to cervix) is only 1.5 to 2
>>inches.
>>So it would be stage one, if it is a uterine prolapse (not extending
>>past the hymen/vaginal opening
>>
>>I'm not sure if it has always been this way, although for as long as I
>>have paid attention to the area it has been like this.
>>
>>I actually have not started seeing a gynecologist yet, but have an
>>appointment in the near future, and I'm wondering if I am just being
>>paranoid or if I should bring this up. Any opinions about my situation
>>- from doctors or people that have experienced this ..I would greatly
>>appreciate it.

Thank you >In addition - no genetic factors
>and I probably should mention even though the slight embarrassment that
>recently I tried to use something during masturbation - and that
>something was too painful and I couldn't continue. This worries me, I
>do not want to have painful intercourse when I get married soon.

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