Drs Miklos & Moore have been performing uterus prolapse surgery, hysteropexy for more than 20 years. Hysteropexy is a uterine preservation surgery which is most often coupled with a paravaginal repair (cystocele surgery) for uterine and bladder prolapse. Most surgeons recommend a hysterectomy without vaginal support or a hysterectomy and a uterosacral ligament suspension without ever taking a patient’s feelings or thought process into account. Drs Miklos & Moore are women advocates who believe women should be give choices, alternatives and knowledge when deciding on uterus prolapse surgery. The hysteropexy is the most effective uterine preservation uterine prolapse surgery and can be performed with and without mesh depending upon the patients’ wishes and surgeons discretion.
Uterine Prolapse – means the uterus lacks support because the original supporting ligaments known as the uterosacral ligaments have broken. When the ligaments break, the uterus prolapses along with the vaginal vault (aka apex). This is a common phenomenon among women of all ages but most commonly associated with women who have had childbirth. Dr’s Miklos and Moore recommend a hysteropexy or keeping the uterus in most cases of uterine prolapse.
Drs Miklos and Moore recommend a uterine suspension surgery for uterine preservation if the patient wants to keep her uterus. Uterus prolapse surgery without a hysterectomy (removing the uterus) can be achieved by uterine preservation specifically uterine suspension and this is technically called a hysteropexy.
NORMAL UTERINE SUPPORT
PROLAPSED UTERUS & VAGINAL VAULT
HYSTEROPEXY UTERINE SUPPORT
The traditional recommended surgical treatment for uterine prolapse is a hysterectomy ( ie removal of the uterus). In the past, there were many reasons why surgeons adhered to this treatment and rarely took into account the patient’s disposition of retaining her uterus.
Dr Miklos & Moore realize it is a woman’s right to make decisions about her uterus and ovaries and will do everything possible to respect the rights and wishes of the woman with respect to her uterus and ovaries. The “gold standard” operation for supporting the uterus and/or vaginal vault is the sacral colpopexy and Dr Miklos & Moore have the largest medically published series in the world on the operation. (>Click here to read the article). Not only is it the largest published series in the world for sacral colpopexy/hysteropexy, Dr Miklos & Moore do the operation through miniature incisions (ie laparoscopy) whereas most surgeons do the procedure through a large abdominal incision known as a laparotomy.
Though some people have reservations about using mesh for uterine suspension Dr. Miklos’ & Moore’s paper on sacral colpopexy will illuminate how rare these complications are. The sacral colpopexy is without a doubt the BEST OPERATION ever developed for uterine and vaginal vault suspension. So why don’t more people do it laparoscopically, they just are not capable. They lack training and the skill to perform the procedure in a safe fashion.
Patients should understand that the sacrocolpopexy can be performed with or without the uterus in place. Dr. Miklos & Moore also respect a woman’s decision NOT to have mesh for this procedure and will do the surgery as requested by the patient after first making them an informed consumer (i.e. informing patient of the risks, benefits, complications and alternatives available.) The hysteropexy is the most effective uterine preservation uterus prolapse surgery available today and can be performed with and without mesh depending upon the patients’ wishes and surgeons discretion.