Evaluating the Efficacy of Rectus Sheath Hysteropexy via Ventral Suspension: A Novel Approach for Uterovaginal Prolapse Treatment

Abstract

Background: UV prolapse or uterine prolapse is the condition when the uterus slips out of its normal position and into the vagina. This can happen due to weakened pelvic muscles, often from childbirth, menopause, or other factors

Objective: The objectives of the study is to comprehensively evaluate the effectiveness, safety, and functional outcomes of the rectus sheath hysteropexy by ventral suspension.

Methodology: The study demonstrates rectus sheath hysteropexy by ventral suspension is an effective and safe treatment for uterovaginal prolapse under regional anesthesia, offering high anatomical correction (90%), symptom relief (96% satisfaction), minimal complications, and fertility preservation. The procedure's efficiency and low morbidity support its viability, especially in resource-limited settings.

Results:

Rectus Sheath Hysteropexy, Uterovaginal Prolapse,Ventral Suspension, Uterus-Preserving, Fertility.

The study's results showed rectus sheath hysteropexy by ventral suspension achieved complete anatomical correction in 45/50 patients (90%) with 96% patient satisfaction. Minimal complications (2 early postoperative, no late complications) and high follow-up retention (90% at 6 months, 72% at 24 months) were noted. Fertility preservation was observed in 11 patients who conceived post-surgery.

Conclusion: The study highlighted that rectus sheath hysteropexy by ventral suspension is a promising uterus-sparing surgery that offers major benefits for women with uterine prolapse.