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

Authors

  • 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.

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Published

2023-09-03

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Articles