Abstract：Objective To evaluate the effect of sacral ligament suspension on the prevention of pelvic floor dysfunction after total abdominal hysterectomy. Methods Eighty-four cervical cancer patients in the hospital from January 2012 to June 2013 undergoing total hysterectomy were enrolled into this study and divided into abdominal hysterectomy group (control group) and abdominal hysterectomy plus uterosacral ligament suspension surgery (combined group). We compared the postoperative vaginal length, sexual satisfaction, organ prolapse and degree, and stress urinary incontinence after 6 and 12 months. Results 6 and 12 months after the operation, in total abdominal hysterectomy with sacral suspensory ligament group, vaginal lengths were (7.72±1.76)cm ,(8.13±1.46)cm, longer than in total abdominal hysterectomy group(6.91±1.40)cm,(6.74±1.74)cm. 12 months after surgery, in combination group of patients, stress urinary incontinence occurred in 1 case, in simple group 8 cases, with a significant difference (P=0.029). 12 months after surgery, in combination group of patients, bladder bulging occurred in 2 cases, in simple group of 9 cases, with a significant difference (P=0.048). Conclusions Vaginal uterosacral ligament suspension can prevent pelvic floor dysfunction after abdominal hysterectomy.
2015, Vol. 26 
