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OBGYN.net.
ACOG 1999 

The Uplift Procedure for Treatment of Retroverted Uterus and Uterine Prolapse

By Insu Kong, MD and Charles Butrick, MD, OBGYN.net Editorial Advisor | August 17, 2006

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Dr. Charles Butrick: "Hello, my name is Chip Butrick, and we're here speaking with Dr. Insu Kong. Today we're going to talk about a new technique that Insu has been using for problems that are retroverted uterus and uterine prolapse. Can you tell us a little bit about the symptoms that patients would have, Insu, if they have problems with that kind of concern?"

Dr. Insu Kong: "Yes, the people with the retroverted uterus usually complain of dysmenorrhea - a painful period and dyspareunia - which is painful sexual intercourse."

Dr. Charles Butrick: "Now what can be done for those kind of problems?"

Dr. Insu Kong: "In the past, many gynecologists have used open surgery to lift the uterus. Now there's a new procedure called the 'uplift.' We can do this with a laparoscope, which is very small, normally in a two-millimeter incision on the skin, and we can do this procedure very quickly without having to open the abdominal wall."

Dr. Charles Butrick: "How is this procedure done - is this all, again, through the laparoscope as an outpatient?"

Dr. Insu Kong: "Yes, through the laparoscope and as an outpatient, and it could be done in conjunction with other procedures because the procedure only takes about ten minutes to complete."

Dr. Charles Butrick: "And yet after this brief procedure, the success rate for pain with intercourse and menstrual cramps would be…?"

Dr. Insu Kong: "Significantly reduced. I have seen many patients who had pain with intercourse completely gone with this simple procedure."

Dr. Charles Butrick: "Have you seen any complications? Is this a risky procedure to undergo?"

Dr. Insu Kong: "No, it's very non-risky because the needle size is only about one or two millimeters - so there is no injury that could occur."

Dr. Charles Butrick: "Fantastic - so then for patients with problems of pain with intercourse or dysmenorrhea and where the doctor feels that the uterus is tilted backwards, this is a new technique that sounds very successful."

Dr. Insu Kong: "Yes, very much so."

Dr. Charles Butrick: "Fantastic. I wish you luck, Dr. Kong."

Dr. Insu Kong: "Thank you."

 

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