Abstract

PREGNANCY AFTER SURGICAL TREATMENT OF PROLAPSE

Dr. Badia Ziouani* and Pr. El Hassani

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Abstract

The occurrence of genital prolapse in women under 50 is uncommon. Surgical treatment represents the last resort for a young patient who has not completed her obstetric plans, after attempting medical treatment with unsatisfactory results. Patient awareness regarding the risk of recurrence is essential. Surgical treatment via the vaginal route with preservation of the uterus and without intervention on the cervix may be a preferred method. The use of prostheses should be avoided due to significant potential side effects (such as erosion, dyspareunia, etc.). Surgical treatment of prolapse through laparoscopic approach is currently the most practiced technique by surgeons, offering many advantages and fewer disadvantages (low risk of recurrence, efficacy, etc.). The occurrence of pregnancy after prolapse treatment is discouraged, with tubal ligation often recommended during surgical intervention. If pregnancy does occur, it often reaches full term, with prophylactic cesarean section being the most recommended mode of delivery.

Keywords: Young woman, genital prolapse, desire for pregnancy; pregnancy; prolapse treatment, vaginal route, laparoscopic approach, delivery term, recurrence.