Most Read Articles
27 Sep 2017
Sleep problems appear to be associated with progression of lower urinary tract symptoms (LUTS) in men with the urologic condition and with LUTS development among asymptomatic men, according to data from the REDUCE* study.
Tristan Manalac, 10 Oct 2017
Despite being common, less than half of Singaporean women have sought medical attention for urinary incontinence for fear of surgery, embarrassment and other misconceptions, a new study from Singapore has found
30 Jul 2016
Long-term testosterone replacement therapy (TRT) is beneficial in men with late-onset hypogonadism (LOH) in a study and is even associated with improvement in sexual function and vitality, physical pain, general health, and overall health-related quality of life (HRQoL).
5 days ago
Physiotherapy and behaviour therapy appear to be effective interventions in females with overactive bladder syndrome, with those who have had no previous exposure to the treatments benefitting from post-therapy effects, a recent study has shown.

Novel laparoscopic procedure provides effective, less invasive treatment of uterine prolapse

15 Sep 2017

Laparoscopic anterior abdominal wall cervicopexy (LAWC) is a minimally invasive and simple procedure that appears to be safe and highly effective in the treatment of marked uterine prolapse without compromising fertility, according to a study.

To assess the safety and efficacy of LAWC, a novel minimally invasive procedure for the management of stages III and IV uterine prolapse, the procedure was performed on 39 cases with symptomatic uterine prolapse during the period from June 2012 to January 2015.

At the start of the procedure, the pouch of Douglas was obliterated through the approximation of the uterosacral ligaments with nonabsorbable suture. Then, it was completed through the anchoring of the supravaginal cervix to the anterior abdominal wall by two nonabsorbable sutures taken in good bites in the dense stroma of the supravaginal cervix.

Uterine prolapse was diagnosed as stage III in 36 women (92.3 percent) and stage IV in three. LAWC was safely performed in these patients without any intraoperative complications.

A statistically significant decrease was observed in the extent of prolapse at all pelvic organ prolapse quantification (POP-Q) points as compared with preoperative assessment at a follow-up of 3 months (p=0.000). On evaluation by the POP-Q system after 1 year, only five cases (12.8 percent) were found to have stage I uterine prolapse.

An earlier study showed that laparoscopic sacrocervicopexy was an effective option for sexually active women with pelvic organ prolapse. The success rate of the procedure was 98.4 percent for the central compartment, 94.2 percent for the anterior compartment and 99.2 percent for the posterior compartment. [JSLS 2013;17:235–244]

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Most Read Articles
27 Sep 2017
Sleep problems appear to be associated with progression of lower urinary tract symptoms (LUTS) in men with the urologic condition and with LUTS development among asymptomatic men, according to data from the REDUCE* study.
Tristan Manalac, 10 Oct 2017
Despite being common, less than half of Singaporean women have sought medical attention for urinary incontinence for fear of surgery, embarrassment and other misconceptions, a new study from Singapore has found
30 Jul 2016
Long-term testosterone replacement therapy (TRT) is beneficial in men with late-onset hypogonadism (LOH) in a study and is even associated with improvement in sexual function and vitality, physical pain, general health, and overall health-related quality of life (HRQoL).
5 days ago
Physiotherapy and behaviour therapy appear to be effective interventions in females with overactive bladder syndrome, with those who have had no previous exposure to the treatments benefitting from post-therapy effects, a recent study has shown.