Fourteen-year experience with laparoscopic ventrosuspension in patients with retroverted and retroflected uterus and pelvic pain syndromes
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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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References (8)
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Cited by (8)
- Risk factors for coexisting deep endometriosis for patients with recurrent ovarian endometrioma 2022
- Risk factors for coexisting deep endometriosis for patients with recurrent ovarian endometrioma 2022
- Surgical management of endometriosis-associated pain 2021
- Experience with Diagnostic Laparoscopy in the Evaluation of Tubal Factor Infertility 2020
- Transvaginal and transperineal ultrasound follow-up after laparoscopic correction of uterine retrodisplacement in women with posterior deep infiltrating endometriosis 2018
- Comparing the Efficacy of Surgery and Medical Therapy for Pain Management in Endometriosis: A Systematic Review and Meta-analysis 2017
- Intensity of menstrual pain and estimated angle of uterine flexion 2013
- Management of chronic pelvic pain 2011
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- europepmc
- last seen: 2026-10-20T06:13:28.455750+00:00
- openalex
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- pubmed
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- unpaywall
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