The Effect of Vertical Versus Horizontal Vaginal Cuff Closure on Vaginal Length After Laparoscopic Hysterectomy

This study has been designed as a prospective randomized trial to be performed at Bridgeport Hospital. Patients planning to undergo a laparoscopic or robotically assisted total laparoscopic hysterectomy with or without removal of adnexal structures will be recruited by the Bridgeport Hospital Minimally Invasive Gynecologic Surgery fellows during their preoperative office visit at the Bridgeport Hospital Gynecologic Oncology office. If enrolled, they will be assigned a sequential study identification number. During their preoperative exam, a baseline POP-Q will be performed. Demographic information will be recorded from the electronic medical record.

Inclusion Criteria:

• Undergoing laparoscopic or robotic-assisted laparoscopic hysterectomy
• Under the care of Dr. Dan-Arin Silasi or Dr. Masoud Azodi at Bridgeport Hospital
• Planning to follow up at the Gynecologic Oncology office at Bridgeport Hospital
• Age 18 or older
• Able to give informed consent to participate in the research study

Exclusion Criteria:

• Age less than 18
• Unable to give informed consent
• Patients undergoing radical hysterectomy
• Patients receiving vaginal cuff radiation within the study period
• Patients undergoing concomitant pelvic floor or vaginal suspension procedure