The early benefits of Laparoscopic Sacrocolpopexy

• Published in: Journal of gynecology obstetrics and human reproduction Vol. 48; no. 10; pp. 799 - 804
• Main Authors: Apostolopoulos, Nikolaos V., Alexandraki, Krystallenia I., Gorry, Anwen, Coker, Adeyemi
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01.12.2019
• Subjects: Female; Gynecologic Surgical Procedures; Humans; Laparoscopic Sacrocolpopexy; Laparoscopy; Middle Aged; Pelvic organ prolapse; Pelvic Organ Prolapse - surgery; Prolapse symptoms; Prospective Studies; Quality of Life; Sexual Behavior; Stress urinary incontinence; Surveys and Questionnaires; Time-to-Treatment; Treatment Outcome; Urinary Incontinence, Stress - surgery; Vault prolapse; Voiding function; Prolapse symptoms; Stress urinary incontinence; Pelvic organ prolapse; Laparoscopic Sacrocolpopexy; Vault prolapse; Voiding function
• ISSN: 2468-7847; 2468-7847
• DOI: 10.1016/j.jogoh.2019.07.006

Prospective evaluation of the 6 months functional and clinical outcome of 27 patients treated with Laparoscopic Sacrocolpopexy (LSC). Pelvic organ prolapse was assessed by Baden-Walker system along with a validated quality of life questionnaire preoperatively and at 6 months postoperatively to assess vaginal, urinary, bowel and sexual symptoms. At a mean 6 months follow-up, 96% of the symptomatic women had successful vaginal vault support with no recurrence of prolapse symptoms. Successful anatomical outcome (any prolapse ≤ stage 1) was found in 89%. Regarding the urinary functional symptoms, significant improvement was reported in the voiding function, painful symptoms and the relevant quality of life. Stress urinary incontinence resolved in 67% without concomitant continence surgery; 4% from the stress incontinence was de novo. Bowel symptoms were common, both pre- and postoperatively; 40% from the postoperative bowel symptoms was de novo. Sexually active women reported significant improvement in sexual function; there was one case of de novo dyspareunia. LSC is an effective treatment for vault prolapse as soon as in the 6-months follow-up. The outcome for anterior and posterior support is less predictable. The pelvic organ vaginal, urinary and sexual functional symptoms improve. The effects on bowel function are less clear. Long-term prospective studies are required to establish the duration of the benefits.