Uterovaginal prolapse; use of autologous rectus sheath to repair a good choice needing more follow-up

ABSTRACT

To follow post-op patients after autologous rectus sheath repair of utero-vaginal prolapsed.Observational study. Services Hospitals, SIMS, LHR and Bhatti International Hospital, Central Park Medical College LHR. 2008-2012. Pts from 28to38 yrs of age with utero-vaginal prolapse were selected. Due to their younger age group uterus retaining procedure was planned whether they had completed their family or not ,So autologous rectus sheath graft was used with abdominal approach to suspend the uterus along with plication of round ligament These patients were then observed for immediate post op complications and 6 months onwards follow up was also noted. 10 pts were included in the study. Only one pt had dysurea and 1 pt had 1st Degree cystocele on discharge. Long term follow up showed that 2 pts had 1st degree cystocele and only 1 pt had 1st degree uterovaginal prolapse. An easier procedure for utero-vaginal prolapse that can be easily performed in a regular hospital set-up without the need of Laparoscope, mesh or high surgical expertise