Maintaining the apex: a novel technique for vault suspension during vaginal hysterectomy

Yair Daykan, Reut Rotem*, Daniel Galvin, Orfhlaith E. O’Sullivan, Barry A. O’Reilly

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction and hypothesis: Post-hysterectomy vault prolapse poses significant challenges to patients and surgeons alike. Despite numerous surgical interventions during initial vaginal hysterectomy to counteract this, a comparative analysis of their efficacy is limited. This study introduces a pioneering technique intended to avert vault prolapse during vaginal hysterectomy by harmoniously merging level 1 and level 2 support. Methods: After obtaining informed consent, we recorded a variation of the McCall technique performed during vaginal hysterectomy and anterior repair. Patient follow-ups were conducted up to 6 months post-operation to evaluate anatomical outcomes and quality of life. Results: A total of 46 women underwent the surgery. Anatomical evaluations at the 6-month mark were commendable, with no recurrence instances. Quality-of-life assessments, using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12), showcased substantial improvement. Conclusion: Our novel approach to vault suspension provides an uncomplicated, easily impartible, surgical procedure utilizing standard sutures. We believe that this approach is both enduring and safe.

Original languageEnglish
Pages (from-to)253-256
Number of pages4
JournalInternational Urogynecology Journal
Volume35
Issue number1
DOIs
StatePublished - Jan 2024

Keywords

  • McCall culdoplasty
  • Modified McCall
  • Vaginal hysterectomy
  • Vault suspension

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