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• W2945379840 abstract "Évaluer l’impact de la réalisation d’une hystérectomie en cas de cure de prolapsus sur les résultats anatomiques, fonctionnels, les complications per et postopératoires par rapport à la conservation utérine. Nous avons réalisé une revue de la littérature sur Pubmed, Medline, Embase et Cochrane en utilisant les termes et MeSH (Medical Subject Headings of the National Library of Medicine) suivants : uterine prolapse ; genital prolapse ; prolapse surgery ; vaginal prolapse surgery ; abdominal prolapse surgery ; hysterectomy ; hysteropexy ; sacrocolpopexy ; surgical meshes ; complications ; sexuality ; neoplasia ; urinary ; incontinence ; cancer. Parmi les 168 résumés étudiés, nous avons retenu 63 articles. Il n’existait pas de différence significative en termes de résultats anatomiques et fonctionnels en cas de promontofixation (OR = 2,21 [IC95 % : 0,33–14,67[) et en cas de chirurgie vaginale sans pose de prothèse (OR = 1,07 [IC95 % : 0,38–2,99]). Il n’y avait pas non plus de différence en termes de symptomatologie urinaire ou de sexualité au décours quel que soit la voie d’abord. L’hystérectomie était associée à une morbidité plus importante (saignements, allongement du temps opératoire, allongement de la durée d’hospitalisation), un risque augmenté d’exposition prothétique en cas d’hystérectomie totale (8,6 % IC95 % : 6,3–11). En l’absence de preuve de supériorité en termes de résultats anatomiques et fonctionnels, avec une augmentation du taux de complications, l’hystérectomie concomitante en cas de cure de prolapsus ne doit probablement pas être réalisée de manière systématique. To evaluate the impact of hysterectomy in case of genital prolapse on the anatomical and functional results, and on per and post operative complications compared with uterine preservation. We conducted a review of the Pubmed, Medline, Embase and Cochrane literature using the following terms and MeSH (Medical Subject Headings of the National Library of Medicine): uterine prolapse; genital prolapse; prolapse surgery; vaginal prolapse surgery; abdominal prolapse surgery; hysterectomy; hysteropexy; sacrocolpopexy; surgical meshes; complications; sexuality; neoplasia; urinary; incontinence; cancer. Among the 168 abstracts studied, 63 publications were retained. Whatever performance of hysterectomy or not, anatomical and functional results were similar in abdominal surgery (sacrocolpopexy) (OR = 2.21 [95% CI: 0.33–14.67]) or vaginal surgery (OR = 1.07 [95% CI: 0.38–2.99]). There was no difference in terms of urinary symptoms or sexuality after surgery. Hysterectomy was associated to a higher morbidity (bleeding, prolonged operating time, longer hospital stay), to an increased risk of mesh exposure particularly in case of total hysterectomy (8.6%; 95% CI: 6.3–11). In the absence of evidence of superiority in terms of anatomical and functional outcomes, with an increased rate of complications, concomitant hysterectomy with prolapse surgery should probably not be performed routinely." @default.
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• W2945379840 date "2019-12-01" @default.
• W2945379840 modified "2023-10-18" @default.
• W2945379840 title "Préserver ou non l’utérus en cas de chirurgie du prolapsus : revue de la littérature" @default.
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• W2945379840 doi "https://doi.org/10.1016/j.purol.2019.05.001" @default.
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