Abdominal sacral colpopexy for massive genital prolapse

Area of Science:

• Urogynecology
• Pelvic reconstructive surgery

Background:

• Massive genital prolapse, including procidentia and posthysterectomy vaginal vault prolapse, significantly impacts women's quality of life.
• Surgical correction is often necessary, with a need for durable and safe procedures that preserve function.

Purpose of the Study:

• To evaluate the success and complication rates of abdominal sacral colpopexy in correcting massive genital prolapse.
• To assess the long-term efficacy of this procedure in patients desiring preservation of sexual function.

Main Methods:

• Retrospective chart review of 18 patients undergoing abdominal sacral colpopexy with Marlex mesh between September 1989 and January 1997.
• Concurrent procedures for stress urinary incontinence and staging for ovarian neoplasia were noted.

Main Results:

• No intraoperative complications were reported.
• One superficial wound infection, one deep venous thrombosis, and one instance of graft erosion occurred postoperatively.
• No patients experienced recurrent prolapse during follow-up periods ranging from 8 months to 5 years.

Conclusions:

• Abdominal sacral colpopexy is a highly successful surgical option for massive genital prolapse.
• The procedure demonstrates a low rate of serious complications and provides durable prolapse correction.