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Morphology of uterine ligaments and the vaginal mucosa has been examined in 61 patients with uterine prolapse in order to provide guidelines for an optimum management with respect to tissue functional status. Specimens were obtained intraoperatively and examined in a usual microscope and a S-570 Hitachi scanning electron microscope (Japan). The study suggests that morphologic evaluation of the vaginal walls and uterine ligaments provides an exact measure of tissue status, offering an optimum choice of treatment in these patients.

A study in 128 women with variable degrees of prolapse of the internal genitalia has identified significant functional abnormalities of both the genital and pelvic organs. Combined biphasic surgical treatment was performed simultaneously or at an interval of 3-6 months. The operation consisted in fixation of the uterus (its stump or the vaginal dome) using an aponeurotic flap and colpoperineolevatoroplasty. Long-term results were evaluated at 0.5 to 7 years. Complete anatomic and functional rehabilitation was achieved in 95.4% and a significant improvement in 3.8% of the patients.