Post-hysterectomy cervical- and colposuspension via an abdominal approach in patients with large benign internal genital tumors and grade 2 apical prolapse
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, Kazantsev A.A. ,   BioDynamics LLC, 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, Alexandrov L.S. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Tevlina E.V. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, Malyuta E.G. ,   Treatment and Rehabilitation Center, 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, Grineva A.M. ,   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, Khassan M. ,   I.M.Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
Published: February 2025

Objective. To optimize the results of surgical treatment of patients with large benign pelvic tumors and grade 2 apical prolapse.
Patients and methods. A total of 24 patients aged 44–70 years with grade 2 apical prolapse and uterine myoma and/or large ovarian cystadenoma were examined and operated according to the developed original technique using narrow tape-like titanium mesh implants.
Results. A complex dynamic examination in the postoperative period was performed on an outpatient basis after 1, 6, 12, and 24 months. During the first month, 13 (54.2%) patients reported moderate lower abdominal pain, mainly around the postoperative scar, 7 (29.2%) complained of frequent urination. Subsequently, these symptoms disappeared. Pelvic examination, transvaginal and transperineal ultrasound revealed no displacement of pelvic organs. Mesh-associated complications were not registered during the follow-up period.
Conclusion. The study demonstrated the efficacy and safety of the developed original technique of post-hysterectomy cervicaland colposuspension to the aponeurosis using narrow tape-like titanium mesh implants in patients with grade 2 apical prolapse and uterine myoma and/or large ovarian cystadenoma. This allows us to recommend the described method not only for the treatment but also for the prevention of cervical stump and vaginal vault prolapses after hysterectomy.
Key words: apical prolapse, cervical- and colposuspension to the aponeurosis, large uterine myoma, ovarian cystadenoma, tape-like titanium mesh implants, laparotomy