When uterine descent requires surgery, various procedures exist. A randomized clinical trial of the two most common uterus-sparing procedures in 26 Dutch hospitals has now been published in JAMA. The results show that a hundred-year-old method shows better results after surgery than a more recently developed method. This is a relevant finding because both in the Netherlands and worldwide more women undergo the more recent method. There is also a group of patients who benefit more from the newer procedure.
, among others, showed that the procedure in which a healthy uterus is maintained gives better results than a procedure in which the uterus is removed. After five years, the women who underwent uterus-sparing surgery had a lower risk of recurrence of complaints than after removal of the uterus.
Gynecologist and principal investigator Kirsten Kluivers of Radboud University Medical Center stated,"We assumed that there would be no difference. But there is. In the group that underwent the Manchester procedure, we saw no re-intervention for a recurrent uterine descent and less often a renewed descent of the bladder."According to Kluivers, these results do not mean that women with a sacrospinous hysteropexy received poor treatment.
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