Abstract
Introduction
The aim of this video case series is to demonstrate our experience with the surgical management of recurrent pelvic organ prolapse after sacrocolpopexy.
Methods
This is a series of seven patients who developed recurrent pelvic organ prolapse stage 2 or greater after sacrocolpopexy. The video shows short clips on the individualized surgical management using a laparoscopic approach.
Conclusion
The surgical management of patients with recurrent pelvic organ prolapse poses a great challenge. In our cases the laparoscopic approach gave us the opportunity to diagnose the reason for surgical failure, to optimally restore the anatomy and function of the pelvic floor, and to limit the morbidity that is often seen in repeat surgery. Laparoscopic revision of sacrocolpopexy for recurrent pelvic organ prolapse is feasible but needs to be individualized. As the number of cases is limited, and available evidence is scarce, we recommend the use of a registry to prospectively follow up these patients and identify best practices.
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Abbreviations
- LSCP:
-
Laparoscopic sacrocolpopexy
- SCP:
-
Sacrocolpopexy
- POP:
-
Pelvic organ prolapse
- ALL:
-
Anterior longitudinal ligament
- TAH:
-
Total abdominal hysterectomy
- TLH:
-
Total laparoscopic hysterectomy
References
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Pacquée SNK, Claerhout F, Werbrouck E, Veldman J, Dʼhoore A, Wyndaele J, et al. Long-term assessment of a prospective cohort of patients undergoing laparoscopic sacrocolpopexy. Obstet Gynecol. 2019;134(2):323–32. https://doi.org/10.1097/AOG.0000000000003380.
Maher C, Baessler K, Christmann-Schmid C, Haya N, Brown J. (2016) Surgery for women with anterior compartment prolapse. Cochrane Database Syst Rev. Nov 30;11:CD004014.
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Ruess, E., Roovers, JP. & Jeffery, S. Management of recurrent pelvic organ prolapse after sacrocolpopexy. A video case series. Int Urogynecol J 31, 1483–1485 (2020). https://doi.org/10.1007/s00192-019-04222-2
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DOI: https://doi.org/10.1007/s00192-019-04222-2