Abstract | STUDY OBJECTIVE: DESIGN: Prospective clinical study (Canadian Task Force classification II-2). SETTING: University-based center for reproductive medicine. PATIENTS: INTERVENTION: Round ligaments were plicated using a modification of intracorporeal knot tying during laparoscopy. MEASUREMENTS AND MAIN RESULTS: The extent of plication was planned to elevate the uterus and bring it minimally forward. Mean +/- SD operating time was 14+/-4 minutes. Pain scores before and after surgery were 4.5+/-1.0 and 1.6+/-0.6, respectively (p<0.001). There were no complications during or after surgery. Only three women had minimal dyspareunia postoperatively, although they had anteverted uteri. One patient had severe dyspareunia that developed 7 months after surgery and continued through the second year of follow-up. Nineteen women with anteverted uteri were free of dyspareunia after 2 years. CONCLUSION: Round ligament plication is safe and effective in patients with retroverted uteri and dyspareunia or CPP.
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Authors | S Batioglu, H B Zeyneloglu |
Journal | The Journal of the American Association of Gynecologic Laparoscopists
(J Am Assoc Gynecol Laparosc)
Vol. 7
Issue 4
Pg. 547-51
(Nov 2000)
ISSN: 1074-3804 [Print] United States |
PMID | 11044511
(Publication Type: Clinical Trial, Journal Article)
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Topics |
- Adult
- Chronic Disease
- Dyspareunia
(complications, diagnosis, surgery)
- Female
- Follow-Up Studies
- Humans
- Laparoscopy
(methods)
- Middle Aged
- Pain Measurement
- Patient Satisfaction
- Pelvic Pain
(complications, diagnosis, surgery)
- Prospective Studies
- Round Ligament of Uterus
(physiopathology, surgery)
- Treatment Outcome
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