A NEW TECHNIQUE OF UTERINE SUSPENSION TO PECTINEAL LIGAMENTS IN THE MANAGEMENT OF UTEROVAGINAL PROLAPSE

The incidence of uterovaginal prolapse in young women is high in devel oping countries. Preservation of the uterus is of prime importance in the surgical management of these patients. A new technique of uterine suspension to the pectineal ligaments is presented as an alternative t o traditional procedures. Through a Cherney incision, the uterus is su spended to the pectineal ligaments on both sides with mersilene tape. A simultaneous Burch colposuspension can be useful in selected cases. The operation has been done in 20 women, who averaged 27.5 years of ag e. There was no early or late morbidity during the follow-up period of 6-30 months. Of nine women desiring further childbearing, seven conce ived within 6 months of surgery and thus far five have had an uneventf ul vaginal delivery at term; the other two have continuing normal gest ations. There was no recurrence of prolapse at 6 weeks postpartum in a ny of the women.