Pregnancy after laparoscopic hysteropexy: Is there a prolapse recurrence?

Abstract

Laparoscopic hysteropexy is a surgery of choice for woman with pelvic organ prolapse wishing to retain fertility. There are few cases of pregnancies after this surgery as standard practice recommends to fulfil their family project before undergoing laparoscopic prolapse surgery. Our operative technique involves the use of 2 polypropylene meshes, one placed anteriorly and one posteriorly, they are attached to the cervix and together through the cervix. There is no compression on the uterine arteries as we do not encircle the cervix and there is no concern on blood flow to the uterus. The patient had a gestational diabetes with an oversize baby in breech position. A caesarean section was planned due to the babies' position and weight. The patient delivered a healthy baby and 10 months after the surgery the patient did not have recurrence of pelvic organ prolapse.

Keywords: Caesarean section; Laparoscopic hysteropexy; Pelvic organ prolapse; Pregnancy.