|
GoR* |
- Vaginal hysterectomy with apical suspension has a lower reoperation rate for prolapse than abdominal sacro-hysteropexy
|
B |
VAGINAL HYSTERECTOMY WITH APICAL SUSPENSION
A. Traction on cervix with circumferential incision of vaginal mucosa (orientation)
B. Delivery of uterus through posterior cul-de-sac with cut pedicles
C. Uterosacral vaginal vault suspension
* Grades of Recommendation
Adapted from International Consultation on Incontinence (ICI). 2017 ICI Surgical Pathway for Pelvic Organ Prolapse. (urogynaecology.com.au)
The Grade of Recommendation has been derived from the ICI (see Int Urogynecol J. 2013 Nov;24(11):1781
https://link.springer.com/article/10.1007/s00192-013-2168-x and expert opinion during the Commission’s development of the guidance.