Uterine pathologies to be considered before uterus-preserving surgery in cases of uterine prolapse

Year 2015, , 364 - 368, 03.01.2016

Fatma Eskicioğu , Beyhan Özyurt

https://doi.org/10.5799/ahinjs.01.2015.04.0550

Abstract

Objective: Investigation of unpredictable risks due to abnormal uterine pathology after the choice of uterus-preserving reconstructive surgical procedure for women who have uterine prolapse and no other complaints was aimed.

Methods: The data of 121 women (105 postmenopausal and 16 premenopausal) who underwent vaginal hysterectomy due to pelvic organ prolapse was examined and the post-hysterectomy histopathology results were evaluated.

Results: Senile cystic atrophy was the most common endometrial pathology result among postmenopausal women (63.5%). However, proliferative and secretory endometrium was the most common endometrial pathology finding among premenopausal women (81.3%). There were statistically significant differences between postmenopausal and perimenopausal women in terms of these pathology results (p<0.001). While, there was no difference between groups in terms of endometrial polyps, hyperplasia and adenomyosis (p>0.05), myoma uteri was significantly more common in patients with perimenopause (p=0.01).

Conclusion: The uterus must be evaluated in terms of endometrial pathologies in asymptomatic women with pelvic organ prolapse before uterus-preserving reconstructive surgical procedure, especially in postmenopausal period. J Clin Exp Invest 2015; 6 (4): 443-446

Key words: Pelvic organ prolapse, vaginal hysterectomy, endometrium

Keywords

Pelvik organ prolapsusu, vajinal histerektomi, endometrium

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