Non-Mesh Sacrocolpopexy as a Supplementary Procedure to Abdominal Radical Hysterectomy in Carcinoma Cervix Ib2 Coexisting with Procidentia

Abstract

Background:

Prolapse coexisting with carcinoma of the cervix is a rare occurrence. There is no standardized management for this rare combined entity.

Case:

A 72-year-old patient with procidentia had a suspicious-looking ulcer on her prolapsed uterus. Biopsy of the cervical lesion confirmed a well-differentiated squamous-cell carcinoma. She underwent an abdominal, modified radical hysterectomy with bilateral salpingo-oophorectomy, bilateral pelvic lymphadenectomy, and sacrocolpopexy. Postsurgery, she received concomitant radiotherapy and chemotherapy as adjuvants.

Results:

At her 6-month follow-up, her vault was healthy and well-suspended.

Conclusions:

This was a successful abdominal approach to carcinoma of the cervix coexisting with prolapse. Sacrocolpopexy was performed as a concomitant procedure that provided standardized management for cervical carcinoma due to feasibility of bilateral pelvic lymphadenectomy along with adequate access for targeted radiotherapy without inducing any visceral symptoms.