A Study on Laparoscopic Sacral Colpopexy for Uterine Prolapse

Area of Science:

• Urogynecology
• Minimally Invasive Surgery
• Pelvic Floor Disorders

Background:

• Pelvic organ prolapse significantly impacts women's quality of life.
• Sacral colpopexy is a surgical option for severe pelvic prolapse.

Purpose of the Study:

• To describe perioperative and postoperative adverse events of sacral colpopexy.
• To evaluate surgical outcomes, complications, and benefits of laparoscopic sacral fixation for pelvic prolapse.

Main Methods:

• Retrospective review of 92 women undergoing laparoscopic sacral colpopexy (Jan 2011-Sep 2016).
• Data collected on demographics, intraoperative, and postoperative events.
• Outcomes assessed via Pelvic Floor Distress Inventory-20 and follow-up questionnaires/exams.

Main Results:

• Mean age 69 years; mean follow-up 12 months; mean operative time 61 minutes.
• Low complication rate: sacral pain (3), vaginal erosion (1), urinary retention (2), spondylitis (1), mesh infection (2).
• 98.9% patient satisfaction; no reported sexual dysfunction or activity limitations.

Conclusions:

• Laparoscopic sacral colpopexy is a feasible and effective minimally invasive technique.
• Offers good long-term results for pelvic prolapse.
• Complication rates are comparable to open surgery.