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

  • Urology - Original Paper
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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.

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References

  1. Onwude JL (2012) Genital prolapse in women. BMJ Clin Evid 14:817

    Google Scholar 

  2. Smith FJ, Holman CD, Moorin RE, Tsokos N (2010) Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol 116:1096–1100

    Article  PubMed  Google 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 24:377–384

    Article  CAS  PubMed  Google Scholar 

  4. Coolen AWM, van Oudheusden AMJ, Mol BWJ, van Eijndhoven HWF, Roovers JWR, Bongers MY (2017) Laparoscopic sacrocolpopexy compared with open abdominal sacrocolpopexy for vault prolapse repair: a randomised controlled trial. Int Urogynecol J 28:1469–1479

    Article  PubMed  PubMed Central  Google 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 112:1143–1149

    Article  PubMed  Google 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 18:747–754

    Article  PubMed  Google Scholar 

  7. Chevrot A, Droupy S, Linares E, de Tayrac R, Costa P, Wagner L (2016) Impact of laparoscopic sacrocolpopexy on symptoms, health-related quality of life and sexuality: A 3-year prospective study. Prog Urol 26:558–565. (Article in French)

    Article  CAS  PubMed  Google Scholar 

  8. Sergent F, Resch B, Loisel C, Bisson V, Schaal JP, Marpeau L (2011) Mid-term outcome of laparoscopic sacrocolpopexy with anterior and posterior polyester mesh for treatment of genito-urinary prolapse. Eur J Obstet Gynecol Reprod Biol 156:217–222

    Article  PubMed  Google Scholar 

  9. Barber MD, Brubaker L, Nygaard I, Wheeler TL 2nd, Schaffer J, Chen Z, Spino C, Pelvic Floor Disorders Network (2009) Defining success after surgery for pelvic organ prolapse. Obstet Gynecol 114:600–609

    Article  PubMed  PubMed Central  Google Scholar 

  10. Fatton B, Letouzey V, Lagrange E, Mares P, Jacquetin B, de Tayrac R (2009) Validation of a French version of the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). J Gynecol Obstet Biol Reprod (Paris) 38:662–667. (Article in French)

    Article  CAS  Google 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)

    Article  Google Scholar 

  12. Claerhout F, De Ridder D, Roovers JP, Rommens H, Spelzini F, Vandenbroucke V, Coremans G, Deprest J (2009) Medium-term anatomic and functional results of laparoscopic sacrocolpopexy beyond the learning curve. Eur Urol 55:1459–1467

    Article  PubMed  Google Scholar 

  13. Sarlos D, Kots L, Ryu G, Schaer G (2014) Long-term follow-up of laparoscopic sacrocolpopexy. Int Urogynecol J 25:1207–1212

    Article  PubMed  Google Scholar 

  14. Handa VL, Harvey L, Cundiff GW, Siddique SA, Kjerulff KH (2004) Sexual function among women with urinary incontinence and pelvic organ prolapse. Am J Obstet Gynecol 191:751–756

    Article  PubMed  Google Scholar 

  15. Tok EC, Yasa O, Ertunc D, Savas A, Durukan H, Kanik A (2010) The effect of pelvic organ prolapse on sexual function in a general cohort of women. J Sex Med 7:3957–3962

    Article  PubMed  Google Scholar 

  16. Zielinski R, Low LK, Tumbarello J, Miller JM (2009) Body image and sexuality in women with pelvic organ prolapse. Urol Nurs 29:239–246

    PubMed  PubMed Central  Google Scholar 

  17. Laganà AS, La Rosa VL, Rapisarda AMC, Vitale SG (2018) Pelvic organ prolapse: the impact on quality of life and psychological well-being. J Psychosom Obstet Gynaecol 39:164–166

    Article  PubMed  Google Scholar 

  18. Salamon CG, Lewis CM, Priestley J, Culligan PJ (2014) Sexual function before and 1 year after laparoscopic sacrocolpopexy. Female Pelvic Med Reconstr Surg 20:44–47

    Article  PubMed  Google 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)

    Article  Google Scholar 

  20. Maher CF, Feiner B, DeCuyper EM, Nichlos CJ, Hickey KV, O’Rourke P (2011) Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial. Am J Obstet Gynecol 204:360.e1–360.e7

    Article  Google Scholar 

  21. Fatton B, Savary D, Velemir L, Amblard J, Accoceberry M, Jacquetin B (2009) Sexual outcome after pelvic reconstructive surgery. Gynecol Obstet Fertil 37:140–159. (Article in French)

    Article  CAS  PubMed  Google Scholar 

  22. Su TH, Lau HH, Huang WC, Chen SS, Lin TY, Hsieh CH, Yeh CY (2009) Short term impact on female sexual function of pelvic floor reconstruction with the Prolift procedure. J Sex Med 6:3201–3207

    Article  PubMed  Google Scholar 

  23. Vitale SG, Caruso S, Rapisarda AM, Valenti G, Rossetti D, Cianci S, Cianci A (2016) Biocompatible porcine dermis graft to treat severe cystocele: impact on quality of life and sexuality. Arch Gynecol Obstet 293:125–131

    Article  PubMed  Google 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.

    Article  Google Scholar 

  25. Caruso S, Bandiera S, Cavallaro A, Cianci S, Vitale SG, Rugolo S (2010) Quality of life and sexual changes after double transobturator tension-free approach to treat severe cystocele. Eur J Obstet Gynecol Reprod Biol 151:106–109

    Article  PubMed  Google Scholar 

  26. Higgs PJ, Chua H-L, Smith ARB (2005) Long term review of laparoscopic sacrocolpopexy. BJOG 112:1134–1138

    Article  CAS  PubMed  Google Scholar 

  27. Gadonneix P, Ercoli A, Salet-Lizée D, Cotelle O, Bolner B, Van Den Akker M, Villet R (2004) Laparoscopic sacrocolpopexy with two separate meshes along the anterior and posterior vaginal walls for multicompartment pelvic organ prolapse. J Am Assoc Gynecol Laparosc 11:29–35

    Article  PubMed  Google Scholar 

  28. Antiphon P, Elard S, Benyoussef A, Fofana M, Yiou R, Gettman M, Hoznek A, Vordos D, Chopin DK, Abbou CC (2004) Laparoscopic promontory sacral colpopexy: is the posterior, recto-vaginal. Mesh Mandatory? Eur Urol 45:655–661

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Urology Department, University Hospital of Nîmes, 4 Rue du Professeur Robert Debré, 30029, Nîmes, France

    Laurent Wagner, Armand Chevrot, Elisabeth Llinares, Pierre Costa & Stéphane Droupy

Authors
  1. Laurent Wagner
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  2. Armand Chevrot
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  3. Elisabeth Llinares
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  4. Pierre Costa
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  5. Stéphane Droupy
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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.

Corresponding author

Correspondence to Armand Chevrot.

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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.

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

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Wagner, L., Chevrot, A., Llinares, E. et al. Long-term anatomic and functional results of laparoscopic sacrocolpopexy: a prospective study. Int Urol Nephrol 51, 795–802 (2019). https://doi.org/10.1007/s11255-019-02124-2

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  • DOI: https://doi.org/10.1007/s11255-019-02124-2

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