First experience in treatment pelvic organ prolapse in postmenopausal patients with tendon autotransplantation

Objective: to evaluate the results of using the autograſt of the tendon of the semitendinosus muscle in the treatment of apical prolapse in postmenopausal patients.

Materials and methods: the study included 3 postmenopausal women with POPQ grade 2–3 apical prolapse. This group underwent surgical treatment in the following scope: laparoscopic supravaginal amputation of the uterus with appendages, promontofixation of the cervical stump using autograſt of the tendon of the semitendinosus muscle. The outcome of pelvic prolapse correction was evaluated in the early and late postoperative period, as was the assessment of knee joint functionality.

Results: the outcome of surgical treatment of apical prolapse in postmenopausal women with the use of the autograſt of the tendon of the semitendinous muscle is comparable to the results of surgical techniques with the use of the mesh implant in terms of time and efficiency, but the described technique allows to avoid mesh-associated complications. There were no complications during and aſter the surgery, decrease in the functional activity of the knee joint, or postoperative recurrences during the follow-up period.

Conclusions: non-standard approach, relative simplicity, preliminary results of the applied operative technique justify the introduction of autotransplantation in pelvic prolapse surgery. It is necessary to continue the study with a larger group of patients to evaluate the long-term results of the surgical procedure.

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