E-Posters-Laparoscopic Sacral Colpopexy: A Retrospective Analysis of the Subjective and Objective Outcome in 1235 Cases

Laparoscopic Sacral Colpopexy: A Retrospective Analysis of the Subjective and Objective Outcome in 1235 Cases - Yugo Sawada

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This study analyzed the outcomes of laparoscopic sacral colpopexy (LSC) in 1235 cases of pelvic organ prolapse (POP). LSC is a minimally invasive surgery for supporting the anterior and posterior vaginal walls. The study aimed to evaluate the anatomical and functional results of LSC.<br /><br />The retrospective study included women with at least a Stage 2 POP who underwent double sacrocolpopexy between January 2013 and December 2018. Perioperative parameters such as surgical time, blood loss, and complications were evaluated, as well as surgical anatomical results using the POP-Q classification at 12 months and annually up to 3 years post-surgery. Objective success was defined as POP-Q stage 0 or 1 in all compartments, while subjective success was defined as no symptomatic bulge protruding beyond the hymen and no recurrence of symptoms.<br /><br />The results showed that LSC provided excellent total support and good functional outcome. The surgical outcomes were comparable to those reported in other studies. Complication rates were also comparable to previous reports. Objective failure was observed in 4.5% of cases, with 3.0% at POP-Q Stage II, 0.5% at Stage III, and 0.2% at Stage IV. Subjective failure was observed in 8.2% of cases. Reoperations for POP were performed in 0.8% of cases.<br /><br />The study concluded that LSC is an effective surgical procedure for treating POP, providing excellent support and functional outcomes. The surgical and complication rates were comparable to other studies. Further research and longer follow-up periods would be beneficial to evaluate the long-term outcomes of LSC.<br /><br />The study was presented at the IUGA 2019 conference in Nashville. The authors did not receive any funding or acknowledgment for the study.

Keywords

laparoscopic sacral colpopexy

pelvic organ prolapse

minimally invasive surgery

anatomical results

functional results

retrospective study

surgical outcomes

complication rates

objective success

subjective success