A new method of hysterosuspension in patients with cervical elongation
Authors:   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Ishchenko A.I. , Ishchenko A.A. ,   Treatment and Rehabilitation Center, Moscow, Russian Federation, Khokhlova I.D. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Dzhibladze T.A. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Gorbenko O.Yu. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Malyuta E.G. ,   Treatment and Rehabilitation Center, Moscow, Russian Federation, Zuev V.M. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Komarova A.D. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Moskvicheva A.P. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Apatenko A.S. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Marchenko E.M. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Lapteva A.O. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Petrova V.O. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
Published: January 2025

Objective. To improve the efficacy and long-term outcomes of surgical treatment of grade II–III cervical elongation.
Patients and methods. The study included 22 patients aged 30–74 years with grade II–III cervical elongation. All patients underwent surgical treatment based on the developed original technique with titanium implants (braid).
Results. The results of the surgical intervention were evaluated on an outpatient basis at 1, 6, 12, and 24 months after surgery. A comparison of questionnaires before surgery and in the early and late postoperative periods showed improvement in the quality of life of patients, social and sexual activity. During the first postoperative month, 12 (54.5%) patients reported non-acute cramping pain in the perineum and/or inguinal/femoral region, 6 (27.3%) patients complained of frequent urination. A comprehensive clinical examination in the dynamics revealed the preservation of surgical correction, absence of pelvic organ prolapse in all patients in the early and last postoperative periods. Mesh-associated complications were not revealed during the follow-up period.
Conclusion. The study demonstrated the efficacy and safety of the developed original technique of hysterosuspension using tape-like titanium (braid) mesh implants in patients with grade II–III cervical elongation of different age groups, as evidenced by a normal position of the uterus, absence of pelvic organ prolapse, and Mesh-associated complications during the follow‑up period.
Key words: grade II–III cervical elongation, surgical correction, tape-like titanium mesh implants, hysterosuspension