Objective: To evaluate the medium-term anatomical results of laparoscopic repair of urogenital prolapse by sacral colpopexy without associated paravaginal repair (PVR).
Material and methods: The medical records of 97 patients operated in a single centre between 1997 and 2005 by laparoscopic sacral colpopexy without PVR were retrospectively reviewed. The primary endpoint for evaluation of the functional results was anatomical relapse, defined by the appearance of prolapse greater than or equal to grade 2 according to the Baden and Walker classification.
Results: Eighty two patients were reviewed with a mean follow-up of 14.3 months (range: 1-62.9). Nine patients (11%) presented an anatomical relapse with a mean follow-up of 26 months [range : 6-63]. One early relapse (< 6 months) was due to avulsion of the posterior tape and 8 late relapses presented with cystocele or isolated distal rectocele.
Conclusion: Laparoscopic sacral colpopexy allows good anatomical correction, especially of cystocele.