Published in:
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.