UGSA Hysterectomy, Vaginal Repair and Apical Suspension Information Sheet

These procedures are usually performed for the treatment of utero-vaginal prolapse. It is widely accepted that the best results for vaginal repairs are obtained when suspension of the upper vagina (apical) is included at the time of traditional vaginal repair. In women with uterine prolapse, a hysterectomy maybe performed at the time of the vaginal repair and apical suspension. The decision regarding hysterectomy or uterine preservation is best discussed with your individual gynaecologist; however, relative contraindications to uterine preservation include: uterine abnormalities, abnormal or postmenopausal bleeding, recent cervical changes on Pap smear, Lynch syndrome, tamoxifen therapy, body mass index >35, familial cancer BRAC1 and 2, or being unable to comply with ongoing Pap smear screening.