ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Efficacy of laparoscopic sacrocervicopexy for apical support of pelvic organ prolapse.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 22 citations in OpenAlex.
- International Urogynecology Consultation Chapter 1 Committee 5: relationship of pelvic organ prolapse to associated pelvic floor dysfunction symptoms: lower urinary tract, bowel, sexual dysfunction and abdominopelvic pain.International urogynecology journal · 2021Article
- Does ventral mesh rectopexy at the time of sacrocolpopexy prevent subsequent posterior wall prolapse?Journal of the Turkish German Gynecological Association · 2021Article
- Laparoscopic Pectopexy-CUSUM Learning Curve and Perioperative Complications Analysis.Journal of clinical medicine · 2021Article
- Sexual function after robot-assisted prolapse surgery: a prospective study.International urogynecology journal · 2018Article
- A new operation technique for uterine prolapse: Vaginally-assisted laparoscopic sacrohysteropexy.Turkish journal of obstetrics and gynecology · 2017Article
- Robotic or laparoscopic sacrohysteropexy versus open sacrohysteropexy for uterus preservation in pelvic organ prolapse.International urogynecology journal · 2016Article
- Gynaecologists' views on the management of Vaginal Vault Prolapse: A qualitative study.Pakistan journal of medical sciencesArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesTo evaluate the efficacy of laparoscopic sacrocervicopexy for apical support in sexually active patients with pelvic organ prolapse.
methodsOne-hundred thirty-five women with symptomatic prolapse of the central compartment (Pelvic Organ Prolapse Quantitative [POP-Q] stage 2) underwent laparoscopic sacrocervicopexy. The operating physicians used synthetic mesh to attach the anterior endopelvic fascia to the anterior longitudinal ligament of the sacral promontory with subtotal hysterectomy. Anterior and posterior colporrhaphy was performed when necessary. The patients returned for follow-up examinations 1 month after surgery and then over subsequent years. On follow-up a physician evaluated each patient for the recurrence of genital prolapse and for recurrent or de novo development of urinary or bowel symptoms. We define "surgical failure" as any grade of recurrent prolapse of stage II or more of the POP-Q test. Patients also gave feedback about their satisfaction with the procedure.
resultsThe mean follow-up period was 33 months. The success rate was 98.4% for the central compartment, 94.2% for the anterior compartment, and 99.2% for the posterior compartment. Postoperatively, the percentage of asymptomatic patients (51.6%) increased significantly (P < .01), and we observed a statistically significant reduction (P < .05) of urinary urge incontinence, recurrent cystitis, pelvic pain, dyspareunia, and discomfort. The present study showed 70.5% of patients stated they were very satisfied with the operation and 18.8% stated high satisfaction.
conclusionLaparoscopic sacrocervicopexy is an effective option for sexually active women with pelvic organ prolapse.
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