Uterine suspension by rectus sheath flap,in selected cases of U.V. prolapse

Objective: to study the effectiveness of rectus sheath flap in the management of pelvic organ prolapse. study design: prospective interventional study place and duration of study: the study was conducted at the department of obstetrics & gynaecology,lady willingdon hospital from january 2000 to december 2010. patients & methods: 150 patients having nulliparous prolapse with future fertility concerns were selected from the out patients department of lady willingdon hospital. various symptoms assessed before and after surgery were pelvic pain,urinary symptoms,low back ache,dyspareunia,feeling of something coming out of vagina and infertility. results: there was marked improvement in the symptoms fertility improved and there was no recurrence of prolapse at 5 years of follow up giving a patient satisfaction rate of 100%. conclusion: uterine suspension (hysteropexy) by using a flap of rectus sheath is a very effective method for the management of u.v prolapse.