Prevention of Apical Prolapse at the Time of Benign Hysterectomy

Publication Date: April 28, 2014
Last Updated: March 14, 2022

Recommendations

McCall culdoplasty may be performed during vaginal hysterectomy to treat non-prolapse–related disease to reduce the risk of postoperative apical prolapse for up to 3 years. (B)
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Uterosacral ligament suspension may be performed during abdominal and laparoscopic hysterectomy to reduce the risk of post-hysterectomy vaginal vault prolapse.
  • abdominal
(B)
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  • laparoscopic
()
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Sacrospinous ligament fixation and abdominal sacrocolpopexy are not recommended for prevention of prolapse during hysterectomy to treat non-prolapse–related disease. (C)
334012

Recommendation Grading

Overview

Title

Prevention of Apical Prolapse at the Time of Benign Hysterectomy

Authoring Organization

Publication Month/Year

April 28, 2014

Last Updated Month/Year

March 16, 2023

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Inclusion Criteria

Female, Adult, Older adult

Health Care Settings

Ambulatory, Hospital, Operating and recovery room

Intended Users

Physician, nurse, nurse practitioner, physician assistant

Scope

Assessment and screening, Diagnosis, Prevention, Management, Treatment

Diseases/Conditions (MeSH)

D056887 - Pelvic Organ Prolapse, D007044 - Hysterectomy

Keywords

hysterectomy, pelvic organ prolapse, apical, Richardson angle stitch, Sacrospinous ligament fixation