Clinical outcome after laparoscopic assisted vaginal hysterectomy with transvaginal uterosacral ligament fixation

Abstract

Objective: We report here the clinical outcome of a simplified method to suspend the vaginal cuff during laparoscopic assisted vaginal hysterectomy. Materials and Methods: This is a retrospective study. Fifty patients underwent laparoscopic assisted vaginal hysterectomy and received transvaginal uterosacral ligament fixation for vaginal cuff support (LAVHUS). Follow-up examinations were conducted for at least 24 months and included vaginal examination with prolapse grading using the POP-Q system. Subjective outcomes were measured using a questionnaire that asked patients to describe postoperative lower urinary tract symptoms and satisfaction with the procedure. Results: The mean follow-up duration was 106 weeks (range 102–120 weeks).The postoperative POP-Q point C and total vaginal length were effectively sustained during this period. There were no intraoperative or postoperative complications, and no adverse postoperative lower urinary tract symptoms were reported. Conclusion: The present study demonstrated satisfactory subjective and objective clinical outcomes following LAVHUS.

Keywords

• laparoscopic assisted vaginal hysterectomy
• transvaginal
• uterosacral ligament fixation
• vaginal cuff support