Laparoscopic Hysterosacropexy: Is it A Safe Option  for Fertility Spearing?

Paola  Algeri; Laura  Colonna; Silvia  Bergamelli; Laura  Imbruglia; Nunzia   Mastrocola; Silvia  Von Wunster

doi:10.18502/jfrh.v17i3.13545

Paola Algeri Department of Obstetrics and Gynaecology, ASST Bergamo Est, Seriate, Bergamo, Italy
Laura Colonna Department of Obstetrics and Gynaecology, ASST Bergamo Est, Seriate, Bergamo, Italy
Silvia Bergamelli Department of Obstetrics and Gynaecology, ASST Bergamo Est, Seriate, Bergamo, Italy
Laura Imbruglia Department of Obstetrics and Gynaecology, ASST Bergamo Est, Seriate, Bergamo, Italy
Nunzia Mastrocola Department of Obstetrics and Gynaecology, ASST Bergamo Est, Seriate, Bergamo, Italy
Silvia Von Wunster Department of Obstetrics and Gynaecology, ASST Bergamo Est, Seriate, Bergamo, Italy

DOI: https://doi.org/10.18502/jfrh.v17i3.13545

Keywords: Hysterosacropexy; Laparoscopy; Pelvic Pain; Pregnancy; Prolapse Recurrence Risk

Abstract

Objective: In case of uterine prolapse, hyseroxacropexy, a conservative surgical approach, which allows the sparing of body image and sexuality, could be the choice in fertile women. Few information are reported on subsequent pregnancy after surgery.

Case report: A 33 years-old women with symptomatic prolapse underwent a laparoscopic hysterosacropexy. Subsequently she expressed her pregnancy desire and she got pregnant. A scheduled caesarean section was performed without complication. The subsequent follow-up was regular: the patient was asymptomatic and presented no sign of prolapse recurrence.

Conclusion: In motivate and well counselled patient, informed about the risk of prolapse recurrence,
pregnancy could be considered after hysterosacropexy.