Treatment of genital prolapse by laparoscopic lateral suspension using mesh: a series of 73 patients

J Minim Invasive Gynecol. 2008 Jan-Feb;15(1):49-55. doi: 10.1016/j.jmig.2007.11.003.

Abstract

Study objective: To evaluate the efficacy of laparoscopic lateral suspension using mesh in patients with pelvic organ prolapse (POP).

Design: A prospective cohort study (Canadian Task Force classification II-2).

Setting: A tertiary referral center for operative laparoscopy.

Patients: In all, 73 patients with POP were assessed in the preoperative and postoperative stages. The assessment included a description of their functional symptoms and the degree of their POP condition, established according to the Baden-Walker prolapse classification system. The patients were followed in the postoperative stage for a median of 19 (range 12-41) months.

Interventions: Laparoscopic lateral suspension of pelvic organs using mesh carried out from January 2004 through September 2006.

Measurements and main results: Satisfactory anatomic results were obtained in 64 (87.7%) patients. Neither major complications, nor postoperative pelvic infection were reported. None of the operations required laparotomy.

Conclusion: Laparoscopic lateral suspension using mesh effectively treats POP with low morbidity.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cystocele / surgery*
  • Female
  • Humans
  • Laparoscopy / methods*
  • Middle Aged
  • Prospective Studies
  • Rectocele / surgery*
  • Suburethral Slings*
  • Surgical Mesh
  • Treatment Outcome
  • Uterine Prolapse / surgery*