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Updated: May 30, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical and functional outcomes
C M Y Chan1, H H X Liang, W W Go
1Department of Obstetrics and Gynaecology, United Christian Hospital, Kwun Tong, Hong Kong. chanmy7@ha.org.hk
Objective:
To evaluate the anatomical and functional outcomes following laparoscopic sacrocolpopexy in a local unit.
Design:
Retrospective case series.
Setting:
A regional hospital in Hong Kong.
Patients:
All women who underwent laparoscopic sacrocolpopexy for symptomatic uterine or post-hysterectomy prolapse from January 2003 to December 2008.
Main Outcome Measures:
Anatomical outcomes, functional outcomes including complications.
Results:
A total of 31 patients were recruited. The success rate in treating apical vaginal wall prolapse was 100%. There were no recurrences of vault prolapse (defined as stage II or higher). Approximately 19% of women had anterior vaginal wall prolapse and 23% had urinary stress incontinence postoperatively; 6% had a second operation because of anterior vaginal wall prolapse. The rates of dyspareunia and constipation were low. The mean hospital stay was 4 (range, 2-11) days. Two patients sustained bladder injuries and one rectal injury resulting in a rectovaginal fistula. For three patients the procedure was converted to a laparotomy.
Conclusions:
Laparoscopic sacrocolpopexy is feasible in our population and has a high success rate for treating apical vaginal wall prolapse. The incidence of complications was acceptable.
