United States.- A clinical study published in the journal JAMA Surgery suggests that some women with pelvic organ prolapse might benefit more from uterus-preserving surgery than from a hysterectomy, as they present a lower risk of long-term treatment failure.
The research compared hysteropexy, a procedure that uses a mesh to support the uterus without removing it, with hysterectomy, an intervention in which the organ is removed.
After a ten-year follow-up, researchers found that patients who underwent hysteropexy recorded a 36% lower risk of treatment failure compared to those who underwent hysterectomy.
The study included 175 women treated at nine medical centers in the United States. The results showed that 40% of the patients who kept their uterus experienced some recurrence or complication related to the treatment, compared to 53% of those who underwent the removal of the organ.
The authors noted that both procedures remain valid options for treating pelvic organ prolapse and highlighted that the choice should be based on an individual medical evaluation, each patient’s health conditions, and their preferences.
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Pelvic organ prolapse occurs when the muscles and tissues that support organs such as the uterus, bladder, or rectum weaken, causing them to descend into the vagina. This condition can cause discomfort, pelvic pressure, urinary problems, and affect women’s quality of life.
Specialists believe that these findings could contribute to expanding treatment options and favor more personalized decisions between doctors and patients, especially in women who wish to preserve the uterus when clinically possible.
