Laparoscopic ventrofixation: An alternate treatment approach for uterine prolapse

Uterine prolapse is an anatomic problem that occurs usually in elderly women but may occur in women during their fertile years. The traditional treatment approach has been vaginal hysterectomy. There exists a subset of women with uterine prolapse who desire conservation of the uterus or are high operational risks for hysterectomy. We have performed a new procedure for treatment of these women that has benefits intrinsic to laparoscopy. Thirty- four women underwent laparoscopic ventrofixation of the prolapsed uterus. Fifteen women underwent simultaneous correction of cystocele. In all patients, the procedure has been successful. Follow-up has been for 6-36 months. Urinary urgency and dysuria have been minor and transient complaints. All of the women are content and symptom free. These preliminary results indicate that laparoscopic ventrofixation should be considered in this subset of women, since it offers shorter operative time and hospitalization than vaginal hysterectomy without complications.