Grade III Uterine Prolapse Managed with Sacrohysteropexy in a 29-Year-Old Woman: A Case Report

Abstract

Uterine prolapse is a type of pelvic organ prolapse characterized by the descent of the uterus caused by weakening of the pelvic support structures. Although it is more common in older women, it may also occur in women of reproductive age, particularly in those with obstetric risk factors. We report a 29-year-old multiparous woman (P2A0) presenting with a progressively enlarging vaginal bulge for three years. Gynecological examination revealed cervical descent beyond the hymenal ring with positive Valsalva and cough tests. Based on clinical findings, the patient was diagnosed with grade III uterine prolapse and underwent uterine-preserving sacrohysteropexy. No intraoperative or early postoperative complications were observed. At the six-week follow-up, the vaginal bulge had completely resolved, pelvic pressure symptoms improved, urinary complaints decreased, and the patient resumed normal daily activities. Gynecological examination demonstrated adequate apical support with the cervix located above the hymenal ring and no evidence of recurrence. Sacrohysteropexy provided satisfactory anatomical correction while preserving the uterus, making it a suitable option for young women wishing to maintain reproductive and sexual function.