IMR Press / CEOG / Volume 46 / Issue 1 / DOI: 10.12891/ceog4372.2019

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Laparoscopic hysterectomy with anterior four-arm mesh implant technique in the surgical treatment of a woman with pelvic organ prolapse and urinary incontinence: a case report and review of the literature
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1 Department of Gynecology and Obstetrics, Metro Hospital, Adana, Turkey
*Correspondence: (G. SUKGEN)
Clin. Exp. Obstet. Gynecol. 2019, 46(1), 161–163;
Published: 10 February 2019

Purpose: A woman with pelvic organ prolapse (POP) and stress urinary incontinence (SUI) who was treated with a technique utilizing laparoscopic hysterectomy followed by the placement of a four-arm polypropylene mesh. Materials and Methods: Patient who applied to the clinic due to recurrent postmenopausal bleeding, urinary incontinence, and vaginal swelling underwent alternative laparoscopic hysterectomy due to such factors as previous recurrent pelvic surgery, lack of isolated uterine descensus, and difficulty of vaginal hysterectomy. In the same session, the patient was treated with anterior four-arm POP mesh implant. Results: Postoperative six-month follow up, both functional and anatomical improvement were observed as the patient’s SUI became continent, and there was an improvement in POP. Conclusion: The combination of laparoscopic hysterectomy, POP four-arm mesh implant and anti-incontinent surgery in the hysterectomy plan is functional and effective for benign reasons in patients with POP and SUI. Future studies are needed to evaluate the utility of this technique.

Laparoscopic hysterectomy
Pelvic organ prolapse
Urinary incontinence
Four-arm mesh implant
Figure 1.
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