Modern minimally invasive treatment of prolapse – lateral hysteropexy using the Dubuisson’s method.

This is one of the most modern methods of treating uterine prolapse or lowering, introduced in leading facilities in Europe. With the innovative equipment of our hospital, we can finally offer this solution to our patients as well.

This procedure involves laparoscopic suspension of the uterus or vagina to the fascia of the rectus abdominis muscles, using a special advanced mesh. It is designed to replace stretched or damaged ligaments that are supposed to keep the uterus in place. With this method, it is possible to “lift” the uterus to the correct position, eliminating its prolapse. The operation can be performed in different types of prolapse of the lesser pelvis organs, i.e. in the case of the prolapse of the anterior (urinary bladder), middle (uterus) or posterior (rectum) part of the reproductive organ.

The procedure is carried out under general anaesthesia, using the laparoscopic method. Several incisions ranging on average from 5 to 10 mm are made on the abdominal skin. These wounds heal for about 7-10 days and virtually no traces remain. Usually, the patient is discharged home the day after the procedure, but sometimes there is a need to stay one day longer. Since there is very little pain after the procedure, only generally available painkillers are used at home. From 1 to 2 days after the surgery, the patient can return to typical daily activities, but it is advised to refrain from increased exercise and sexual activity for 6-8 weeks. Due to the fact that the operation is performed using a minimally invasive laparoscopic method, recovery is very fast. Long-term outcomes in terms of improving the stability of the reproductive organ are very good.

Preoperative instructions:

The operation is classified as a major gynaecological procedure. In order to prepare for the surgery, it is necessary to do necessary laboratory tests and determine the blood group. All the tests can be done a few days before the surgery at our hospital.

Postoperative instructions:

• Sparing lifestyle for 7-10 days;
• Self-care of puncture wounds with a disinfectant and daily change of adhesive sterile dressings;
• Preventing bladder overflow by frequent urination;
• Avoiding physical exertion and lifting for 6-8 weeks;
• Light diet for 3 days;
• Constipation prevention by oral use of lactulose or paraffin;
• Ad hoc use of generally available painkillers;
• Abstinence from sexual intercourse for a period of 6-8 weeks;
• Coming to the doctor for stitch removal around the 7^th day after the surgery.