IMR Press / CEOG / Volume 45 / Issue 1 / DOI: 10.12891/ceog3753.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Modified Gilliam-Doleris hysteropexy for juvenile uterovaginal prolapse
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1 Department of Obstetrics and Gynecology, Oita University Faculty of Medicine, Oita, Japan
2 Department of Obstetrics and Gynecology, Nakatsu Municipal Hospital, Oita, Japan
3 Iwanaga Ladies Clinic, Oita, Japan
Clin. Exp. Obstet. Gynecol. 2018, 45(1), 109–111; https://doi.org/10.12891/ceog3753.2018
Published: 10 February 2018
Abstract

Purpose of investigation: Pelvic organ prolapse (POP) is common among multiparous, older, and/or obese women, but rare among nulliparous, young, and/or thin women. Uterus-sparing surgery for reproductive-age POP patients offers the potential for preserving fertility. The authors report a juvenile nulliparous POP woman treated with a modified Gilliam-Doleris hysteropexy. Results: The 19-yearold Japanese woman was referred to the authors after a vaginal pessary for her uterine prolapse failed; she also had a large ovarian tumor. She was 154 cm tall, weighed 54 kg, and had the body mass index 22.8 kg/m2. The POP was stage III. The authors performed a modified Gilliam-Doleris hysteropexy and concomitant right ovarian cystectomy. The patient has been free from recurrent prolapse for five years post-surgery. Conclusion: Although POP is rare in nulliparous juvenile women, it can occur with background cumulative risk. The modified technique of Gilliam-Doleris hysteropexy should be listed as a treatment option for juvenile POP patients.
Keywords
Fertility preservation
Juvenile
Pelvic organ prolapse
Round ligament of uterus
Surgical procedures
Uterine prolapse
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