Skip Navigation LinksHome > March 2010 - Volume 53 - Issue 1 > Vaginal Hysterectomy for the Prolapsed Uterus
Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3181cd4065
Vaginal Surgery

Vaginal Hysterectomy for the Prolapsed Uterus

LUCERO, MONICA MD, MPH; SHAH, APARNA D. MD

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Abstract

Although most gynecologists are comfortable performing vaginal hysterectomy in the patient without significant uterovaginal prolapse, vaginal hysterectomy for the prolapsed uterus poses unique challenges and requires an increased awareness of deviations in pelvic anatomy that may result. This review article discusses the background of vaginal hysterectomy performed for uterovaginal prolapse, the pathophysiology of uterovaginal prolapse, preoperative assessment of the patient with uterovaginal prolapse, surgical technique, ureteral anatomy, techniques to avoid injury to the ureter at the time of vaginal hysterectomy for uterovaginal prolapse, and other relevant considerations.

© 2010 Lippincott Williams & Wilkins, Inc.

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