E-Posters-10066

10066_Noor

Pdf Summary

The study aimed to determine if concomitant anterior and posterior repair during laparoscopic sacrocolpopexy prevents recurrence in these compartments. A total of 118 patients with at least 1-year of postoperative follow-up data were included in the analysis. Preoperatively, 60.2% of patients had stage 2 prolapse and 39.8% had stage 3 prolapse. 71.2% of patients were postmenopausal and 30.3% used preoperative vaginal estrogen. 27.1% of patients smoked, 0.9% used chronic steroids, and 3.4% had diabetes. 75.4% of patients underwent hysterectomy at the time of prolapse repair, with 87.6% being supracervical. Concomitant vaginal procedures included anterior repair (4.2%), posterior repair (6.8%), and perineorrhaphy (37.3%). After 1-year follow-up, 77% of women had stage 0 or 1 prolapse and 23% had stage 2. Recurrence rates were 3.5% in the anterior compartment and 11.8% in the posterior compartment. Only 0.02% of patients with recurrence underwent repeat surgery. <br /><br />The results showed that concomitant anterior and posterior repair during laparoscopic sacrocolpopexy did not completely prevent recurrence in the respective compartments. Interestingly, a small percentage of patients with recurrence had repairs performed in the same compartment during the initial surgery. Overall, the study suggests that additional interventions or modifications may be needed to reduce recurrence rates in these compartments after sacrocolpopexy.

Keywords

laparoscopic sacrocolpopexy

anterior repair

posterior repair

recurrence prevention

prolapse stage

postoperative follow-up

vaginal estrogen

hysterectomy

perineorrhaphy

repeat surgery