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Long-term anatomic and functional results of laparoscopic sacrocolpopexy: a prospective study

  • Laurent Wagner
  • Armand ChevrotEmail author
  • Elisabeth Llinares
  • Pierre Costa
  • Stéphane Droupy
Urology - Original Paper
  • 10 Downloads

Abstract

Purpose

The aim of our study was to assess the impact of laparoscopic sacrocolpopexy on pelvic symptoms, quality of life and sexual function in patients with symptomatic pelvic organ prolapse. Secondary goals included the assessment of anatomical correction, recurrence and complication rates.

Methods

This is a prospective, single-center study that included 82 patients between 2009 and 2016. A clinical evaluation took place before surgery, and was repeated at 3, 12, 36 and 60 months postoperatively. Patients routinely received an anterior prosthesis, associated with a posterior prosthesis in case of symptomatic rectocele. Patients included self-administered questionnaires for functional pelvic problems (PFDI-20), quality of life (PFIQ-7), and sexual function (PISQ-12), and a clinical examination with POP-Q staging, at each medical visit.

Results

Functional pelvic problems derived from prolapse (PFDI-20 scores) and their impact on patients’ quality of life (PFIQ-7 score) significantly improved at 3, 12, 36 and 60 months postoperatively. Improvement on sexual activity was significant at 3 and 60 months postoperatively. Effective prolapse anatomical correction (POP-Q score < 2) was found in 94.4% and 97.2% of patients at the anterior and middle stages, respectively, at the end of follow-up, but only in 80.3% at the posterior stage. Symptomatic recurrence required surgical intervention in 4 patients (5.3%).

Conclusions

This long-term follow-up prospective analysis confirms the good functional and anatomical results of laparoscopic sacrocolpopexy for pelvic organ prolapse.

Keywords

Pelvic organ prolapse Laparoscopy Quality of life Sexuality Long-term adverse effects 

Notes

Author contributions

LW: Protocol and project development, data analysis, manuscript writing and editing. AC: manuscript writing and editing. EL: Protocol development, data collection and management. PC: Data collection and management. SD: Protocol and project development, data analysis.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures were in accordance with the ethical standards of the institutional Ethics Committee (08.561), and with the 1964 Helsinki declaration and its later amendments.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Urology DepartmentUniversity Hospital of NîmesNîmesFrance

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