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International Journal of Medicine and Science of Physical Activity and Sport

International Journal of Medicine and Science of Physical Activity and Sport

REVISTA INTERNACIONAL DE MEDICINA Y CIENCIAS DE LA ACTIVIDAD FÍSICA Y EL DEPORTE

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IMPACT OF LAPAROSCOPIC LATERAL ABDOMINAL WALL SUSPENSION ON FUNCTIONAL RECOVERY IN ATHLETICALLY ACTIVE WOMEN WITH UTERINE PROLAPSE UNDER 60

Issue Volume 25, Number 99, 2025 Articles 
Siyu Zhu
Kunshan First People's Hospital affiliated to Jiangsu University, Kunshan, Jiangsu, 215316, China
Xing Gu
Kunshan First People's Hospital affiliated to Jiangsu University, Kunshan, Jiangsu, 215316, China
Yan Shen
Department of Gynecology, Kunshan First People's Hospital affiliated to Jiangsu University, Kunshan, Jiangsu, 215316, China
Zhiting Zhang
Gusu School Nanjing Medical University, Suzhou, Jiangsu, 215026, China

Abstract

Objective: To evaluate the efficacy and advantages of laparoscopic lateral abdominal wall suspension in the treatment of uterine prolapse in women under 60 years old, with a focus on postoperative outcomes and recovery. Methods: Sixty patients diagnosed with uterine prolapse were enrolled and divided into two groups based on the surgical approach. The study group underwent laparoscopic lateral abdominal wall suspension, while the control group received laparoscopic anterior wall suspension. Perioperative data were recorded, and all patients were followed up for a minimum of six months. Postoperative clinical outcomes and prognoses were analyzed and compared between the groups. Results: There were no significant differences between the two groups in preoperative characteristics, S-POP-Q scores, PFDI-20 scores, operative time, or hospital stay (P > 0.05). However, the study group demonstrated significantly reduced intraoperative blood loss and shorter urinary catheter retention times compared to the control group (P < 0.05). Both groups showed significant improvements in S-POP-Q and PFDI-20 scores postoperatively (P < 0.05 within groups), with no significant differences between groups (P > 0.05). Additionally, the incidence of postoperative complications was significantly lower in the study group than in the control group (P < 0.05). Conclusion: Laparoscopic lateral abdominal wall suspension is as effective as anterior wall suspension in treating uterine prolapse, with added benefits including improved uterine support, enhanced anatomic position recovery, reduced intraoperative blood loss, and fewer postoperative complications. These findings support its broader clinical application for younger patients with uterine prolapse.

Keywords: Uterine Prolapse; Laparoscopic Abdominal Wall Suspension; S-POP-Q grading.
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Periodicidad Trimestral/Quartely
Revista multidisciplinar de las Ciencias del Deporte
ISSN: 1577-0354
All journal articles are published in Spanish together with their corresponding translation into English

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