UTERINE PROLAPSE AFTER LAPAROSCOPIC UTEROSACRAL TRANSECTION IN NULLIPAROUS AIRBORNE TRAINEES - A REPORT OF 3 CASES

BACKGROUND: Laparoscopic uterine nerve ablation (LUNA) has become a co mmon alternative therapy for refractor dysmenorrhea. Few long-term com plications have been reported. CASES: Severe uterine prolapse was diag nosed in three young female soldiers during or after the rigors of air borne training. All three had previously undergone LUNA procedures. No other risk factors for uterine prolapse could be identified in these cases. CONCLUSION: The etiology of uterine prolapse is complex, and al though no conclusions as to cause and effect can be made, these cases suggest that LUNA should be performed with caution on women whose occu pation or life-style is associated with heavy physical labor or exerci ses producing marked increases in intraabdominal pressure.