E-Posters-Clinical Outcomes of Laparoscopic Sacrocervicopexy +/- Concomitant Anterior Repair for Pelvic Organ Prolapse: From a Single Surgeon Experience

Clinical Outcomes of Laparoscopic Sacrocervicopexy +/- Concomitant Anterior Repair for Pelvic Organ Prolapse: From a Single Surgeon Experience - Woojin Chong, MD

Back to course

Pdf Summary

This study aimed to investigate the clinical outcomes of laparoscopic sacrocervicopexy (LSC SCP) with or without concomitant anterior repair for pelvic organ prolapse (POP) in a single surgeon experience. The study included 224 adult females who underwent LSC SCP for apical POP between 2012 and 2018. It was found that 94.3% of the females had stage 2 or higher anterior POP, with 45.9% having stage 2 and 54.1% having stage 3 or higher. Among those with stage 3+ anterior POP, 22.5% received concomitant anterior repair, compared to only 3.6% of those with stage 2 anterior POP. The overall rate of reoperation or retreatment due to POP was low at 2.7%. Postoperative complications included urinary incontinence, recurrent POP, urinary tract infections, hematoma, and other complications. Females with preoperative stress urinary incontinence (SUI) were more likely to have postoperative SUI. Females with urodynamic SUI were more likely to undergo concomitant TVT (transvaginal tape) surgery. The study recommends prospective studies to further investigate the rates of POP persistence and recurrence using preoperative and postoperative POPQ (pelvic organ prolapse quantification) scores. Overall, the study provides insights into the clinical outcomes of LSC SCP with or without concomitant anterior repair for POP.

Keywords

laparoscopic sacrocervicopexy

LSC SCP

clinical outcomes

pelvic organ prolapse

POP

single surgeon experience

anterior repair

reoperation

retreatment

postoperative complications