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Article Abstract
Introduction And Hypothesis: Abdominal sacrocolpopexy is the gold standard for advanced uterovaginal/cuff prolapse repair; however, early and late bowel complications are of concern. We report our experience with extraperitoneal sacrocolpopexy (ESCP).
Methods: Twenty-three patients who underwent ESCP between 2007 and 2010 were analyzed in this retrospective cohort study. Preoperative assessment included Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact (PFIQ-7) questionnaires, and pelvic examination according to Pelvic Organ Prolapse Quantification (POP-Q) system. Pre-operative findings were compared with postoperative values at the last follow-up using the Wilcoxon sign test.
Results: Mean operation time was 86 ± 20 min. Twenty patients were discharged within 24 h. With a mean follow-up of 20 months, objective and subjective cure rates were 91.3% and 86.9%, respectively. No postoperative complications were evident with significant improvement in POP-Q, PFDI-20, and PFIQ-7 scores.
Conclusions: ESCP is a safe and effective sacrocolpopexy procedure that can potentially eliminate the risk of gastrointestinal complications.
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Article Synopsis
- The study investigates the prevalence of apical suspension procedures in the surgical treatment of complete pelvic organ prolapse (POP) using a national database from 2006-2016.
- Out of 2,784 women who underwent surgery for complete POP, 46.7% received apical suspension, with types including sacrocolpopexies, extraperitoneal suspensions, and uterosacral suspensions.
- The findings reveal that apical suspension is more frequent in surgeries performed after a hysterectomy, while colpocleisis is associated with older patients and higher comorbidity.