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Published in: International Urogynecology Journal 4/2012

Open Access 01-04-2012 | Original Article

Laparoscopic sacrocolpopexy with bone anchor fixation: short-term anatomic and functional results

Authors: Mariëlla I. Withagen, Mark E. Vierhout, Guido H. Mannaerts, Robin M. van der Weiden

Published in: International Urogynecology Journal | Issue 4/2012

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Abstract

Introduction and hypothesis

The aim of this study was to evaluate short-term anatomic and functional outcomes and safety of laparoscopic sacrocolpopexy with bone anchor fixation.

Methods

A prospective cohort study of women undergoing laparoscopic sacrocolpopexy between 2004 and 2009. Anatomic outcome was assessed using the pelvic organ prolapse quantification score (POP-Q). Functional outcomes were assessed using the Urogenital Distress Inventory, Defecatory Distress Inventory, and the Incontinence Impact Questionnaire preoperatively and at 6 months postoperatively. The Wilcoxon signed rank test was used to test differences between related samples.

Results

Forty-nine women underwent laparoscopic sacrocolpopexy. The objective success rate in the apical compartment was 98%, subjective success rate was 79%. One mesh exposure (2%) was found. One conversion was necessary due to injury to the ileum.

Conclusions

Laparoscopic sacrocolpopexy with bone anchor fixation is a safe and efficacious treatment for apical compartment prolapse. It provides excellent apical support and good functional outcome 6 months postoperatively.
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Metadata
Title
Laparoscopic sacrocolpopexy with bone anchor fixation: short-term anatomic and functional results
Authors
Mariëlla I. Withagen
Mark E. Vierhout
Guido H. Mannaerts
Robin M. van der Weiden
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1599-5

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