Uterus-preserving surgery for the treatment of uterine descent

Tuesday 21 May 2024, 12:30 pm
PhD candidate
R.A. Enklaar MSc.
dr. K.B. Kluivers
dr. M. Weemhoff, dr. H.W.F. van Eijndhoven, dr. S.A.L. van Leijsen

Uterine descent is a common condition. Previous studies have shown that some patients benefit from vaginal support with a pessary. In case of a surgical intervention, a choice can be made to remove the uterus or not. Uterus-preserving surgeries, such as sacrospinous hysteropexy and the Manchester procedure, are increasingly performed in the Netherlands in recent years. Dutch gynaecologists are equally divided between the two techniques, although they have similar arguments for the technique of their preference.  This was mainly based on the gynecologist’s own experience and background. When comparing these two techniques, it appears that the Manchester procedure has better results after 2 years of follow-up compared to the sacrospinous hysteropexy. The patients were questioned for symptoms, and furthermore the anatomy was checked and the need for reintervention was assessed. The satisfaction rate post-operative was similar in both groups. 

Roosje Enklaar (1992) obtained her medical degree in 2018 at the University of Maastricht. In 2018 she started her PhD research at the department of gynaecology and obstetrics in the Radboud university medical center. During the PhD she has been working as a resident not in training in the Zuyderland medical center and is currently working in the Canisius Wilhelmina Hospital.