Rectus Sheath Sling Procedure: A New Horizon in Uterovaginal Prolapse Treatment

Background: Abdominal sacrocolpopexy offers a durable solution for pelvic organ prolapse through mesh suspension techniques. This study assessed the outcome of rectus fascial sling procedure. Methods: This single-arm interventional study was done on 50 patients with uterovaginal prolapse, in Department of Obstetrics and Gynaecology, DG Khan Medical College, DG Khan and Nishtar Medical University, Multan. PFDI-20 (Pelvic Floor Disability Index) was measured preoperatively to assess severity of symptoms. Rectus sheath sling procedure was performed. Surgical outcome was measured one year after surgery. Difference in mean PFDI-20 score before and after surgery was calculated. Results: Mean age of the patients was 27.9±11.5 years; 46 (92%) women had 2nd degree uterovaginal descent and 4 (8%) women had 1st degree prolapse. Mean time of operation was <1 hour in 46 (92%) and >1 hour in 4 (8%) of patients. Sixteen (32%) women had hospital stay of 1-2 days after the surgery and 34 (68%) women stayed for 3-4 days in the hospital. Surgical outcome was measured post operatively one year after surgery with PFDI-20. Ninety-two percent women reported no symptoms post procedure. Mean PFDI-20 score after surgery was 11.6±5.61. ?Mean PFDI-20 score was 43.4±9.4 showing substantial improvement in the symptoms after surgery. PFDI-20 score after surgery was found to be significantly associated with age (p<0.001). Conclusion: Rectus sheath sling operation for uterovaginal descent is effective, minimally invasive, and less time consuming. It can be recommended for women desiring to preserve their fertility. Pak J Physiol 2025;21(2):25-28, DOI: https://doi.org/10.69656/pjp.v21i2.1801