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Uterine Preservation vs Hysterectomy in Pelvic Organ Prolapse Surgery

A Systematic Review With Meta-analysis and Clinical Practice Guidelines

Meriwether, Kate V.; Antosh, Danielle D.; Olivera, Cedric K.; Kim-Fine, Shunaha; Balk, Ethan M.; Murphy, Miles; Grimes, Cara L.; Sleemi, Ambereen; Singh, Ruchira; Dieter, Alexis A.; Crisp, Catrina C.; Rahn, David D.

Obstetrical & Gynecological Survey: December 2018 - Volume 73 - Issue 12 - p 680–681
doi: 10.1097/OGX.0000000000000628
GYNECOLOGY: UROGYNECOLOGY

(Abstracted from Am J Obstet Gynecol 2018;219:129–146.e2)

Hysterectomy performed at the time of pelvic organ prolapse (POP) repair allows the surgeon to gain access to tissues used for apical suspension. However, hysterectomy adds surgical time and costs and may increase morbidity.

Department of Obstetrics and Gynecology, University of Louisville, Louisville, KY (K.V.M.); Department of Obstetrics and Gynecology, Houston Methodist Hospital, Houston, TX (D.D.A.); Department of Obstetrics and Gynecology, New York University, New York, NY (C.K.O.); Department of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada (S.K.-F.); Center for Evidence Synthesis in Health, Brown University School of Public Health, Providence, RI (E.M.B.); The Institute for Female Pelvic Medicine and Reconstructive Surgery, North Wales, PA (M.M.); Department of Obstetrics and Gynecology, Columbia University Medical Center (C.L.G.); International Medical Response (A.S.), New York, NY; Department of Obstetrics and Gynecology, University of Florida Health, Jacksonville, FL (R.S.); Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC (A.A.D.); TriHealth, Cincinnati, OH (C.C.C.); and Department of Obstetrics and Gynecology, University of Texas Southwestern, Dallas, TX (D.D.R.)

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