[LSC (LAPAROSCOPIC SACROCOLPOPEXY) VERSUS UPHOLD TYPE TVM: A CASE CONTROL STUDY].

Area of Science:

• Urology
• Gynecology
• Surgical Innovation

Background:

• Pelvic organ prolapse (POP) significantly impacts women's quality of life.
• Lower urinary tract symptoms (LUTS) are common comorbidities of POP.
• Surgical interventions aim to correct POP and alleviate associated LUTS.

Purpose of the Study:

• To compare the efficacy and safety of Laparoscopic Sacrocolpopexy (LSC) and Uphold-type Transvaginal Mesh (TVM) for treating POP.
• To evaluate postoperative lower urinary tract symptoms and perioperative complications between the two surgical methods.

Main Methods:

• A comparative study involving 25 cases of Uphold-type TVM and 37 cases of LSC.
• Assessment using Objective অত্যাধুনিক (OABSS), International Prostate Symptom Score (IPSS), and ICIQ-SF questionnaires.
• Uroflowmetry and residual urine measurements were conducted.
• Perioperative complications and 3-month postoperative LUTS were analyzed.

Main Results:

• Both LSC and TVM groups showed improvement in OABSS, urgency, IPSS, and residual urine.
• TVM group experienced longer operative times (214 min vs. 115 min) and greater blood loss (54 ml vs. 10 ml) compared to LSC.
• Intraoperative complications included significant bleeding and bladder injury in the TVM group; postoperative complications included vaginal erosion (TVM) and port suture failure (LSC).

Conclusions:

• Both LSC and Uphold-type TVM are effective surgical options for improving LUTS and treating POP.
• LSC demonstrated a shorter operative time and less blood loss.
• Careful patient selection and surgical technique are crucial for minimizing complications with both procedures.