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Published in: International Urogynecology Journal 8/2018

01-08-2018 | Original Article

Modified laparoscopic pectopexy: short-term follow-up and its effects on sexual function and quality of life

Authors: Ali Emre Tahaoglu, Mehmet Sait Bakir, Nurullah Peker, İhsan Bagli, Ahter Tanay Tayyar

Published in: International Urogynecology Journal | Issue 8/2018

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Abstract

Introduction and hypothesis

This study examined the early outcomes of laparoscopic (LS) pectopexy and evaluated its effects on female sexual function and quality of life (QoL).

Methods

Twenty-two patients with apical prolapse who underwent LS pectopexy were included. Outcomes of the procedure were noted; the Female Sexual Function (FSFI) and Prolapse Quality of Life (P-QOL) questionnaires were completed preoperatively and 6 months postoperatively.

Results

There was no evidence of recurrent prolapse or constipation; the percentages of exacerbation of cystocele, rectocele, de novo stress urinary incontinence (SUI), and de novo urgency (UUI) were 4.5%, 9.0%, 4.5%, and 4.5%, respectively (mean follow-up 10.41 months). FSFI and P-QOL scores improved significantly (p < 0.05) postoperatively.

Conclusions

LS pectopexy shows promising results for pelvic organ prolapse (POP) surgery with comparable outcomes. It also improved the FSFI and P-QOL scores in POP patients.
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Literature
1.
go back to reference Machin SE, Mukhopadhyay S. Pelvic organ prolapse: review of the aetiology, presentation, diagnosis and management. Menopause Int. 2011;17:132–6.CrossRefPubMed Machin SE, Mukhopadhyay S. Pelvic organ prolapse: review of the aetiology, presentation, diagnosis and management. Menopause Int. 2011;17:132–6.CrossRefPubMed
2.
go back to reference Jelovsek JE. UpToDate. Pelvic orgn prolapse in women; choosing a primary surgical procedure. Accessed on jun 29, 2017. Jelovsek JE. UpToDate. Pelvic orgn prolapse in women; choosing a primary surgical procedure. Accessed on jun 29, 2017.
3.
go back to reference Smith FJ, Holman CD, Moorin RE, Tsokos N. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010;116:1096–100.CrossRefPubMed Smith FJ, Holman CD, Moorin RE, Tsokos N. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010;116:1096–100.CrossRefPubMed
4.
go back to reference Maher C, Feiner B, Baessler K, Schmid C, Haya N, Brown J. Surgery for women with apical vaginal prolapse. Cochrane Database Syst Rev. 2016;10:CD012376.PubMed Maher C, Feiner B, Baessler K, Schmid C, Haya N, Brown J. Surgery for women with apical vaginal prolapse. Cochrane Database Syst Rev. 2016;10:CD012376.PubMed
5.
go back to reference Banerjee C, Noé KG. Laparoscopic pectopexy: a new technique of prolapse surgery for obese patients. Arch Gynecol Obstet. 2011;284:631–5.CrossRefPubMed Banerjee C, Noé KG. Laparoscopic pectopexy: a new technique of prolapse surgery for obese patients. Arch Gynecol Obstet. 2011;284:631–5.CrossRefPubMed
6.
go back to reference Veit-Rubin N, Dubuisson JB, Gayet-Ageron A, Lange S, Eperon I, Dubuisson J. Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients. Int Urogynecol J. 2017;28:1685–93.CrossRefPubMed Veit-Rubin N, Dubuisson JB, Gayet-Ageron A, Lange S, Eperon I, Dubuisson J. Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients. Int Urogynecol J. 2017;28:1685–93.CrossRefPubMed
7.
go back to reference Subak LL, Waetjen LE, van den Eeden S, Thom DH, Vittinghoff E, Brown JS. Cost of pelvic organ prolapse surgery in the United States. Obstet Gynecol. 2001;98:646–51.PubMed Subak LL, Waetjen LE, van den Eeden S, Thom DH, Vittinghoff E, Brown JS. Cost of pelvic organ prolapse surgery in the United States. Obstet Gynecol. 2001;98:646–51.PubMed
9.
go back to reference Digesu GA, Khullar V, Cardozo L, Robinson D, Salvatore S. P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16(3):176–81.CrossRefPubMed Digesu GA, Khullar V, Cardozo L, Robinson D, Salvatore S. P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16(3):176–81.CrossRefPubMed
10.
go back to reference Pauls RN, Silva WA, Rooney CM, Siddighi S, Kleeman SD, Dryfhout V, et al. Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol. 2007;197:622e1–7.CrossRef Pauls RN, Silva WA, Rooney CM, Siddighi S, Kleeman SD, Dryfhout V, et al. Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol. 2007;197:622e1–7.CrossRef
11.
go back to reference Handa VL, Zyczynski HM, Brubaker L, Nygaard I, Janz NK, Richter HE, et al. Sexual function before and after sacrocolpopexy for pelvic organ prolapse. Am J Obstet Gynecol. 2007;197:629.e1–6.CrossRef Handa VL, Zyczynski HM, Brubaker L, Nygaard I, Janz NK, Richter HE, et al. Sexual function before and after sacrocolpopexy for pelvic organ prolapse. Am J Obstet Gynecol. 2007;197:629.e1–6.CrossRef
12.
go back to reference Azar M, Noohi S, Radfar S, Radfar MH. Sexual function in women after surgery for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:53–7.CrossRefPubMed Azar M, Noohi S, Radfar S, Radfar MH. Sexual function in women after surgery for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:53–7.CrossRefPubMed
13.
go back to reference Altman D, Elmer C, Kiilholma P, Kinne I, Tegerstedt G, Falconer C, et al. Sexual dysfunction after trocar-guided transvaginal mesh repair of pelvic organ prolapse. Obstet Gynecol. 2009;113:127–33.CrossRefPubMed Altman D, Elmer C, Kiilholma P, Kinne I, Tegerstedt G, Falconer C, et al. Sexual dysfunction after trocar-guided transvaginal mesh repair of pelvic organ prolapse. Obstet Gynecol. 2009;113:127–33.CrossRefPubMed
14.
go back to reference Bump RC, Mattiasson A, Bø K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–7.CrossRefPubMed Bump RC, Mattiasson A, Bø K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–7.CrossRefPubMed
15.
go back to reference Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208.CrossRefPubMed Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208.CrossRefPubMed
16.
go back to reference Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31:1–20.CrossRefPubMed Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31:1–20.CrossRefPubMed
17.
go back to reference Cam C, Sakalli M, Ay P, Aran T, Cam M, Karateke A (2007) Validation of the prolapse quality of life questionnaire (P-QOL) in a Turkish population. Eur J Obstet Gynecol Reprod Biol 135:132-5. Cam C, Sakalli M, Ay P, Aran T, Cam M, Karateke A (2007) Validation of the prolapse quality of life questionnaire (P-QOL) in a Turkish population. Eur J Obstet Gynecol Reprod Biol 135:132-5.
18.
go back to reference Toozs-Hobson P, Freeman R, Barber M, Maher C, Haylen B, et al. An international Urogynecological association (IUGA)/ international continence society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse. Neurourol Urodyn. 2012;31:415–21.CrossRefPubMed Toozs-Hobson P, Freeman R, Barber M, Maher C, Haylen B, et al. An international Urogynecological association (IUGA)/ international continence society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse. Neurourol Urodyn. 2012;31:415–21.CrossRefPubMed
19.
go back to reference Noé KG, Schiermeier S, Alkatout I, Anapolski M. Laparoscopic pectopexy: a prospective, randomized, comparative clinical trial of standard laparoscopic sacral colpocervicopexy with the new laparoscopic pectopexy-postoperative results and intermediate-term follow-up in a pilot study. J Endourol. 2015;29:210–5.CrossRefPubMedPubMedCentral Noé KG, Schiermeier S, Alkatout I, Anapolski M. Laparoscopic pectopexy: a prospective, randomized, comparative clinical trial of standard laparoscopic sacral colpocervicopexy with the new laparoscopic pectopexy-postoperative results and intermediate-term follow-up in a pilot study. J Endourol. 2015;29:210–5.CrossRefPubMedPubMedCentral
20.
go back to reference Noé KG, Spüntrup C, Anapolski M. Laparoscopic pectopexy: a randomised comparative clinical trial of standard laparoscopic sacral colpo-cervicopexy to the new laparoscopic pectopexy. Short-term postoperative results. Arch Gynecol Obstet. 2013;287(2):275–80.CrossRefPubMed Noé KG, Spüntrup C, Anapolski M. Laparoscopic pectopexy: a randomised comparative clinical trial of standard laparoscopic sacral colpo-cervicopexy to the new laparoscopic pectopexy. Short-term postoperative results. Arch Gynecol Obstet. 2013;287(2):275–80.CrossRefPubMed
21.
go back to reference Culligan PJ, Murphy M, Blackwell L, et al. Long-term success of abdominal sacral colpopexy using synthetic mesh. Am J Obstet Gynecol. 2002;187:1473–82.CrossRefPubMed Culligan PJ, Murphy M, Blackwell L, et al. Long-term success of abdominal sacral colpopexy using synthetic mesh. Am J Obstet Gynecol. 2002;187:1473–82.CrossRefPubMed
22.
go back to reference Sarlos D, Brandner S, Kots L, Gygax N, Schaer G. Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical results, quality of life and perioperative outcome-a prospective study with 101 cases. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1415–22.CrossRefPubMed Sarlos D, Brandner S, Kots L, Gygax N, Schaer G. Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical results, quality of life and perioperative outcome-a prospective study with 101 cases. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1415–22.CrossRefPubMed
23.
go back to reference Bojahr B, Tchartchian G, Waldschmidt M, Schollmeyer T, De Wilde RL. Laparoscopic sacropexy: a retrospective analysis of perioperative complications and anatomical outcomes. JSLS. 2012;16:428–36.CrossRefPubMedPubMedCentral Bojahr B, Tchartchian G, Waldschmidt M, Schollmeyer T, De Wilde RL. Laparoscopic sacropexy: a retrospective analysis of perioperative complications and anatomical outcomes. JSLS. 2012;16:428–36.CrossRefPubMedPubMedCentral
25.
go back to reference Helström L, Nilsson B. Impact of vaginal surgery on sexuality and quality of life in women with urinary incontinence or genital descensus. Acta Obstet Gynecol Scand. 2005;84:79–84.CrossRefPubMed Helström L, Nilsson B. Impact of vaginal surgery on sexuality and quality of life in women with urinary incontinence or genital descensus. Acta Obstet Gynecol Scand. 2005;84:79–84.CrossRefPubMed
26.
go back to reference Liang CC, Lin YH, Chang YL, Chang SD. Urodynamic and clinical effects of transvaginal mesh repair for severe cystocele with and without urinary incontinence. Int J Gynaecol Obstet. 2011;112:182–6.CrossRefPubMed Liang CC, Lin YH, Chang YL, Chang SD. Urodynamic and clinical effects of transvaginal mesh repair for severe cystocele with and without urinary incontinence. Int J Gynaecol Obstet. 2011;112:182–6.CrossRefPubMed
27.
go back to reference Yeniel AÖ, Ergenoglu AM, Askar N, Itil İM, Meseri R. Quality of life scores improve in women undergoing colpocleisis: a pilot study. Eur J Obstet Gynecol Reprod Biol. 2012;163:230–3.CrossRefPubMed Yeniel AÖ, Ergenoglu AM, Askar N, Itil İM, Meseri R. Quality of life scores improve in women undergoing colpocleisis: a pilot study. Eur J Obstet Gynecol Reprod Biol. 2012;163:230–3.CrossRefPubMed
28.
29.
go back to reference Grimminck K, Mourik SL, Tjin-Asjoe F, Martens J, Aktas M. Long-term follow-up and quality of life after robot assisted sacrohysteropexy. Eur J Obstet Gynecol Reprod Biol. 2016;206:27–31.CrossRefPubMed Grimminck K, Mourik SL, Tjin-Asjoe F, Martens J, Aktas M. Long-term follow-up and quality of life after robot assisted sacrohysteropexy. Eur J Obstet Gynecol Reprod Biol. 2016;206:27–31.CrossRefPubMed
30.
go back to reference Jha S, Gopinath D. Prolapse or incontinence: what effects sexual function the most? Int Urogynecol J. 2016;27:607–11.CrossRefPubMed Jha S, Gopinath D. Prolapse or incontinence: what effects sexual function the most? Int Urogynecol J. 2016;27:607–11.CrossRefPubMed
31.
go back to reference Li-Yun-Fong RJ, Larouche M, Hyakutake M, Koenig N, Lovatt C, Geoffrion R, et al. Is pelvic floor dysfunction an independent threat to sexual function? A cross-sectional studying women with pelvic floor dysfunction. J Sex Med. 2017;14:226–37.CrossRefPubMed Li-Yun-Fong RJ, Larouche M, Hyakutake M, Koenig N, Lovatt C, Geoffrion R, et al. Is pelvic floor dysfunction an independent threat to sexual function? A cross-sectional studying women with pelvic floor dysfunction. J Sex Med. 2017;14:226–37.CrossRefPubMed
32.
go back to reference Lukacz ES, Warren LK, Richter HE, Brubaker L, Barber MD, Norton P, et al. Quality of life and sexual function 2 years after vaginal surgery for Prolapse. Obstet Gynecol. 2016;127:1071–9.CrossRefPubMedPubMedCentral Lukacz ES, Warren LK, Richter HE, Brubaker L, Barber MD, Norton P, et al. Quality of life and sexual function 2 years after vaginal surgery for Prolapse. Obstet Gynecol. 2016;127:1071–9.CrossRefPubMedPubMedCentral
33.
go back to reference Thompson JC, Rogers RG. Surgical Management for Pelvic Organ Prolapse and its Impact on sexual function. Sex Med Rev. 2016;4:213–20.CrossRefPubMed Thompson JC, Rogers RG. Surgical Management for Pelvic Organ Prolapse and its Impact on sexual function. Sex Med Rev. 2016;4:213–20.CrossRefPubMed
34.
go back to reference Barber MD, Brubaker L, Nygaard I, Wheeler TL 2nd, Schaffer J, Chen Z, et al. Defining success after surgery for pelvic organ Prolapse. Obstet Gynecol. 2009;114:600–9.CrossRefPubMedPubMedCentral Barber MD, Brubaker L, Nygaard I, Wheeler TL 2nd, Schaffer J, Chen Z, et al. Defining success after surgery for pelvic organ Prolapse. Obstet Gynecol. 2009;114:600–9.CrossRefPubMedPubMedCentral
35.
go back to reference Kelly M, Macdougall K, Olabisi O, McGuire N. In vivo response to polypropylene following implantation in animal models: a review of biocompatibility. Int Urogynecol J. 2017;28:171–80.CrossRefPubMed Kelly M, Macdougall K, Olabisi O, McGuire N. In vivo response to polypropylene following implantation in animal models: a review of biocompatibility. Int Urogynecol J. 2017;28:171–80.CrossRefPubMed
36.
go back to reference Donati M, Brancato G, Grosso G, Li Volti G, La Camera G, Cardì F, et al. Immunological reaction and oxidative stress after light or heavy polypropylene mesh implantation in inguinal hernioplasty : a CONSORT-prospective, randomized, clinical trial. Medicine (Baltimore). 2016;95(24):e3791.CrossRef Donati M, Brancato G, Grosso G, Li Volti G, La Camera G, Cardì F, et al. Immunological reaction and oxidative stress after light or heavy polypropylene mesh implantation in inguinal hernioplasty : a CONSORT-prospective, randomized, clinical trial. Medicine (Baltimore). 2016;95(24):e3791.CrossRef
Metadata
Title
Modified laparoscopic pectopexy: short-term follow-up and its effects on sexual function and quality of life
Authors
Ali Emre Tahaoglu
Mehmet Sait Bakir
Nurullah Peker
İhsan Bagli
Ahter Tanay Tayyar
Publication date
01-08-2018
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 8/2018
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-018-3565-y

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