International Urogynecology Journal

, Volume 19, Issue 10, pp 1415–1422

Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical results, quality of life and perioperative outcome—a prospective study with 101 cases

  • Dimitri Sarlos
  • Sonja Brandner
  • LaVonne Kots
  • Nicolle Gygax
  • Gabriel Schaer
Original Article
  • 311 Downloads

Abstract

Our prospective study evaluates laparoscopic sacrocolpopexy for vaginal vault prolapse focusing on perioperative data, objective anatomical results using the pelvic organ prolapse quantification (POP-Q) system and postoperative quality of life using the Kings Health questionnaire. One hundred one patients completed the study. Fifty five had laparoscopic supracervical hysterectomy and sacrocolpopexy for uterine prolapse and 46 had laparoscopic sacrocolpopexy for post-hysterectomy prolapse. Median follow-up was 12 months. The subjective cure rate was 93% the objective cure rate (no prolapse in any compartment) according to the International Continence Society classification of prolapse was 98%. The main site of objective recurrence (6%) was the anterior compartment. No apical recurrences and no vaginal mesh erosion occurred. Postoperatively overall quality of life and sexual quality showed significant improvement with less than 1% de-novo dyspareunia. The procedure is recommended for experienced laparoscopic surgeons because of severe intraoperative complications like bladder or rectal injuries.

Keywords

Laparoscopic prolapse repair Laparoscopic sacrocolpopexy POP-Q Quality of life Sacrocolpopexy Vaginal vault prolapse repair 

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Copyright information

© The International Urogynecological Association 2008

Authors and Affiliations

  • Dimitri Sarlos
    • 1
  • Sonja Brandner
    • 1
  • LaVonne Kots
    • 1
  • Nicolle Gygax
    • 1
  • Gabriel Schaer
    • 1
  1. 1.Department of Obstetrics and GynaecologyCantonal HospitalAarauSwitzerland

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