Pregnancy after laparoscopic sacral colpopexy: a case report

Area of Science:

• Reproductive Medicine
• Urogynecology
• Surgical Innovation

Background:

• Pelvic organ prolapse (POP) significantly impacts women's quality of life, often affecting reproductive-aged individuals.
• Management of POP in women desiring future pregnancy presents unique challenges, requiring careful consideration of surgical interventions.
• Previous treatments like pessaries and laparoscopic uterine ventrosuspension (LUV) failed in this case.

Observation:

• A 38-year-old woman with POP underwent multiple surgical interventions, including LUV and subsequently LSC.
• Laparoscopic sacral colpopexy (LSC) was performed after the failure of LUV, which was objectively documented.
• The patient successfully conceived and delivered via caesarean section following LSC.

Findings:

• Laparoscopic sacral colpopexy (LSC) demonstrated optimal correction of POP, confirmed by POP-Q and dynamic pelvic magnetic resonance (PMR).
• Post-delivery, a minor, stable prolapse recurrence was noted and monitored for 48 months via PMR.
• Pregnancy was achieved and successfully carried to term after LSC, indicating the procedure's compatibility with conception.

Implications:

• Surgical correction of POP, particularly LSC, can be a viable option for women with childbearing desires.
• Treatment outcomes are influenced by the severity of POP and the specific surgical approaches employed.
• Further research is warranted to optimize POP surgical strategies for women planning future pregnancies.