Uterine-Preserving Surgery Viable Alternative to Hysterectomy for native-tissue prolapse repair: Study
A new study published in the American Journal of Obstetrics and Gynecology showed that uterine-preserving surgery was a viable alternative to Hysterectomy for native-tissue prolapse repair. The study reinforces the growing real-world evidence supporting uterine-preserving surgery as a safe, efficient, and effective option for native tissue prolapse repair. Therefore with many patients preferring to retain their uterus and consistent evidence backing this approach, it should be routinely offered as a standard care option alongside hysterectomy-based procedures for pelvic organ prolapse.
This research combined a practical, patient-centered, and autonomy-focused strategy by using a nonrandomized design in which patients choose their own surgical group. With the assistance of fellowship-trained urogynecologists, participants made their own decisions and were led by impartial, evidence-based talks when deciding between hysterectomy-based surgery and uterine-preserving surgery.
To mimic a randomized clinical trial, baseline disparities between surgery groups were balanced using inverse probability of treatment weighting based on high-dimensional propensity ratings. Nearly, 321 individuals with stage ≥2 uterine prolapse who wanted surgery were included in a prospective cohort trial between 2020 and 2022, and they were monitored for a year (retention >90%).
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