Medium-Term Anatomical and Functional Results of Isolated Laparoscopic Sacrocolpopexy for Female Pelvic Organ Prolapse during the Early Learning Curve

Shashank Shekhar; Shuchita Goyal; Manu Goel; Charu Sharma; Manisha Jhirwal

doi:10.1007/s13224-020-01373-x

Medium-Term Anatomical and Functional Results of Isolated Laparoscopic Sacrocolpopexy for Female Pelvic Organ Prolapse during the Early Learning Curve

J Obstet Gynaecol India. 2021 Feb;71(1):91-94. doi: 10.1007/s13224-020-01373-x. Epub 2020 Oct 26.

Authors

Shashank Shekhar¹, Shuchita Goyal¹, Manu Goel¹, Charu Sharma¹, Manisha Jhirwal¹

Affiliation

¹ Department of Obstetrics and Gynecology, All India Institute of Medical Sciences Jodhpur, 501/6, Residential Complex, Jodhpur, Rajasthan India.

Abstract

Background: Laparoscopic repair of female pelvic organ prolapse is a technically challenging surgery, especially for the beginners.

Methods: We performed a follow-up study of women who underwent laparoscopic sacrocolpopexy or sacrohysteropexy (LSCP/LSHP) for pelvic organ prolapse between January 2015 and October 2019. We analysed anatomical and subjective success rates, peri-operative complications and medium-term complications.

Results: Twenty women underwent LSCP/LSHP with average follow-up of 16 months. Anatomical success rate was 95%, and subjective success rate was 90%. Blood loss averaged at 24 ml. Majority of women (90%) reported improvement in their symptoms and 10% reported no change in symptoms. There were no mesh complications.

Conclusion: Laparoscopic sacrocolpopexy is an effective and safe surgery for female pelvic organ prolapse even by beginners.

Keywords: Laparoscopic sacrocolpopexy; Pelvic organ prolapse; Sacrohysteropexy.

Publication types

Review