Uterine pathologies to be considered before uterus-preserving surgery in cases of uterine prolapse

Fatma Eskicioğlu, Beyhan Cengiz Özyurt
In: Journal of Clinical and Experimental Investigations · 2016 · vol. 6(4) · doi:10.5799/ahinjs.01.2015.04.0550 · W2231131793
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Abstract

Objective: Investigation of unpredictable risks due to abnormal uterine pathology after the choice of uterus-preserving reconstructive surgical procedure for women who have uterine prolapse and no other complaints was aimed. Methods: The data of 121 women (105 postmenopausal and 16 premenopausal) who underwent vaginal hysterectomy due to pelvic organ prolapse was examined and the post-hysterectomy histopathology results were evaluated. Results: Senile cystic atrophy was the most common endometrial pathology result among postmenopausal women (63.5%). However, proliferative and secretory endometrium was the most common endometrial pathology finding among premenopausal women (81.3%). There were statistically significant differences between postmenopausal and perimenopausal women in terms of these pathology results (p0.05), myoma uteri was significantly more common in patients with perimenopause (p=0.01). Conclusion: The uterus must be evaluated in terms of endometrial pathologies in asymptomatic women with pelvic organ prolapse before uterus-preserving reconstructive surgical procedure, especially in postmenopausal period.

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