Prophylactic Modified McCall Culdoplasty During Total Laparoscopic Hysterectomy

Prophylactic Modified McCall Culdoplasty During Total Laparoscopic Hysterectomy

The purpose of this study is to assess the feasibility of performing prophylactic McCall culdoplasty at the time of total laparoscopic hysterectomy. The investigators will also be measuring pelvic support (using POP-Q) and sexual function before and at different time points (up to 12 months) postoperatively.

The investigators hypothesize that women undergoing the McCall culdoplasty will not have different immediate surgical outcomes (operative time, etc) and may have better pelvic support and sexual function in the future.

Inclusion Criteria:

• Women aged 18-99 undergoing elective laparoscopic hysterectomy for benign indications with surgeons in the division of Advanced Laparoscopy and Pelvic Pain at UNC-Chapel Hill.

Exclusion Criteria:

• Current symptomatic or asymptomatic pelvic organ prolapse as measured by the Pelvic Organ Prolapse Quantification (POPQ) system.
• Pregnancy
• Non-English speaking
• Unable to provide informed consent
• Pathology causing an obliterated cul-de-sac