Uterovaginal Prolapse

Abstract

Objectives: To follow post-op patients after autologous rectus sheath repair ofutero-vaginal prolapsed. Study Design: Observational study. Place & Duration of study: ServicesHospitals, SIMS, LHR & Bhatti International Hospital, Central Park Medical College LHR.2008-2012. Methods: Pts from 28to38 yrs of age with utero-vaginal prolapse were selected.Due to their younger age group uterus retaining procedure was planned whether they hadcompleted their family or not ,So autologous rectus sheath graft was used with abdominal approachto suspend the uterus along with plication of round ligament These patients were thenobserved for immediate post op complications & 6 months onwards follow up was also noted.Results: 10 pts were included in the study. Only one pt had dysurea & 1 pt had 1st Degreecystocele on discharge. Long term follow up showed that 2 pts had 1st degree cystocele & only1 pt had 1st degree uterovaginal prolapse. Conclusions: An easier procedure for utero-vaginalprolapse that can be easily performed in a regular hospital set-up without the need of Laparoscope,mesh or high surgical expertise.