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Updated: May 16, 2026
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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Sequential urodynamic assessment before and after laparoscopic sacrocolpopexy.
Maxime T M Kummeling1, John B W Rietbergen, Mariëlla I J Withagen
1Department of Urology, Sint Franciscus Gasthuis, Rotterdam, the Netherlands.
Acta Obstetricia Et Gynecologica Scandinavica
|November 20, 2012
Summary
This study shows that a modified laparoscopic sacrocolpopexy improves bladder function and reduces urinary symptoms without negative urodynamic effects. Routine prophylactic colposuspension is not supported by these findings.
Area of Science:
- Urogynecology
- Minimally invasive surgery
- Pelvic reconstructive surgery
Background:
- Controversy exists regarding simultaneous colposuspension during laparoscopic sacrocolpopexy.
- Evaluating the impact of surgical modifications on lower urinary tract function is crucial.
Purpose of the Study:
- To assess the effect of a modified laparoscopic sacrocolpopexy technique on urodynamic parameters.
- To evaluate changes in lower urinary tract symptoms post-surgery.
Main Methods:
- Prospective single-center cohort study involving 49 patients.
- Pre- and postoperative multichannel urodynamic evaluation and validated questionnaires.
- Modified laparoscopic sacrocolpopexy/hysteropexy using bone anchor fixation and synthetic mesh.
Main Results:
- Successful vaginal vault prolapse correction in 42 patients.
- Significant increase in bladder volume at first desire to void.
- Significant decrease in maximal detrusor pressure and storage/irritative voiding symptoms.
Conclusions:
- Modified laparoscopic sacrocolpopexy shows no adverse urodynamic findings.
- Statistically significant urodynamic improvements correlate with symptom scores.
- Routine prophylactic colposuspension is not recommended with this technique.
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