Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fi xation: a comparative study

Int Braz J Urol. Sep-Oct 2019;45(5):999-1007. doi: 10.1590/S1677-5538.IBJU.2019.0103.

Abstract

Objective: To compare the intermediate-term follow-up results of laparoscopic pectopexy and vaginal sacrospinous fi xation procedures.

Materials and methods: Forty-three women who had vaginal sacrospinous fixations (SSF) using Dr. Aksakal's Desta suture carrier and 36 women who had laparoscopic pectopexies were re-examined 7 to 43 months after surgery. The PISQ-12 and P-QOL questionnaires were answered by all of the women.

Results: The apical descensus relapse rates did not differ between the groups (14% in the SSF vs. 11.1% in the pectopexy group). The de novo cystocele rates were higher in the SSF group (25.6% in the SSF vs. 8.3% in the pectopexy group). There were no significant differences in the de novo rectocele numbers between the groups. The treatment satisfaction rates were high in both groups (93% in the SSF vs. 91.7% in the pectopexy group), which was not statistically significant. Moreover, the postoperative de novo urge and stress urinary incontinence rates did not differ; however, the postoperative sexual function scores (PISQ-12) (36.86±3.15 in the SSF group vs. 38.21±5.69 in the pectopexy group) were better in the pectopexy group. The general P-QOL scores were not signifi cantly different between the surgery groups.

Conclusion: The vaginal sacrospinous fixation maintains its value in prolapse surgery with the increasing importance of native tissue repair. The new laparoscopic pectopexy technique has comparable positive follow-up results with the conventional sacrospinous fixation procedure.

Keywords: Hand-Assisted Laparoscopy; Pelvic Organ Prolapse; Treatment Outcome.

Publication types

  • Comparative Study
  • Observational Study

MeSH terms

  • Aged
  • Female
  • Humans
  • Laparoscopy / methods*
  • Middle Aged
  • Patient Satisfaction
  • Pelvic Organ Prolapse / surgery*
  • Quality of Life
  • Reproducibility of Results
  • Retrospective Studies
  • Surveys and Questionnaires
  • Treatment Outcome
  • Vagina / surgery*