Fourteen-year experience with laparoscopic ventrosuspension in patients with retroverted and retroflected uterus and pelvic pain syndromes

Johannes Ott, J Ott, Nouri K, Kazem Nouri, K Nouri, M. Demmel, Demmel M, Zafraani S, S. Zafraani, Greilberger U, U Greilberger, Johannes Huber, J C Huber, Huber JC, Klaus Mayerhofer, Mayerhofer K, K Mayerhofer
Journal of Minimally Invasive Gynecology · 2010 · vol. 17(6) , pp. 749–753 · doi:10.1016/j.jmig.2010.07.015 · PMID:20955984 · W2084124500
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This paper reports on the fourteen-year experience with laparoscopic ventrosuspension for treating retroverted and retroflected uterus in patients experiencing pelvic pain syndromes.

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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. STUDY OBJECTIVE: 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 MAIN RESULTS: 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.

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Condition tags

dysmenorrheadyspareuniachronic_pelvic_pain

MeSH descriptors

Laparoscopy Laparoscopy Pelvic Pain Uterine Diseases Uterus Adult Adult Dysmenorrhea Dysmenorrhea Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Dyspareunia Dyspareunia Female Female Humans Humans Pain Measurement

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