Long-term anatomic and functional results of laparoscopic sacrocolpopexy: a prospective study
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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.
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.
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%).
This long-term follow-up prospective analysis confirms the good functional and anatomical results of laparoscopic sacrocolpopexy for pelvic organ prolapse.
KeywordsPelvic organ prolapse Laparoscopy Quality of life Sexuality Long-term adverse effects
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.
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 was obtained from all individual participants included in the study.
- 1.Onwude JL (2012) Genital prolapse in women. BMJ Clin Evid 14:817Google Scholar
- 3.Freeman RM, Pantazis K, Thomson A, Frappell J, Bombieri L, Moran P, Slack M, Scott P, Waterfield M (2013) A randomised controlled trial of abdominal versus laparoscopic sacrocolpopexy for the treatment of post-hysterectomy vaginal vault prolapse: LAS study. Int Urogynecol J 24:377–384CrossRefGoogle Scholar
- 5.Thibault F, Costa P, Thanigasalam R, Seni G, Brouzyine M, Cayzergues L, De Tayrac R, Droupy S, Wagner L (2013) Impact of laparoscopic sacrocolpopexy on symptoms, health-related quality of life and sexuality: a medium-term analysis: Impact of laparoscopic sacrocolpopexy on women with symptomatic UGP. BJU Int 112:1143–1149CrossRefGoogle Scholar
- 6.Perez T, Crochet P, Descargues G, Tribondeau P, Soffray F, Gadonneix P, Loundou A, Baumstarck-Barrau K (2011) Laparoscopic sacrocolpopexy for management of pelvic organ prolapse enhances quality of life at one year: a prospective observational study. J Minim Invasive Gynecol 18:747–754CrossRefGoogle Scholar
- 11.de Tayrac R, Deval B, Fernandez H, Marès P, Mapi Research Institute (2007) Development of a linguistically validated French version of two short-form, condition-specific quality of life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). J Gynecol Obstet Biol Reprod (Paris) 36:738–748. (Article in French)CrossRefGoogle Scholar
- 16.Zielinski R, Low LK, Tumbarello J, Miller JM (2009) Body image and sexuality in women with pelvic organ prolapse. Urol Nurs 29:239–246Google Scholar
- 19.Lucot JP, Fritel X, Debodinance P, Bader G, Cosson M, Giraudet G, Collinet P, Rubod C, Fernandez H, Fournet S, Lesavre M, Deffieux X, Faivre E, Trichot C, Demoulin G, Jacquetin B, Savary D, Botchorichvili R, Campagne Loiseau S, Salet-Lizee D, Villet R, Gadonneix P, Delporte P, Ferry P, Aucouturier JS, Thirouard Y, de Tayrac R, Fatton B, Wagner L, Nadeau C, Wattiez A, Garbin O, Youssef Azer Akladios C, Thoma V, Baulon Thaveau E, Saussine C, Hermieu JF, Delmas V, Blanc S, Tardif D, Fauconnier A, GROG (2013) PROSPERE randomized controlled trial: laparoscopic sacropexy versus vaginal mesh for cystocele POP repair. J Gynecol Obstet Biol Reprod (Paris) 42:334–341. (Article in French)CrossRefGoogle Scholar
- 24.Vitale SG, Laganà AS, Noventa M, Giampaolino P, Zizolfi B, Butticè S, La Rosa VL, Gullo G, Rossetti D (2018) Transvaginal bilateral sacrospinous fixation after second recurrence of vaginal vault prolapse: efficacy and impact on quality of life and sexuality. Biomed Res Int 2018:28 5727165.CrossRefGoogle Scholar