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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
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Prospective International Multicenter Pelvic Floor Study: Short-Term Follow-Up and Clinical Findings for Combined
Günter K Noé1, Sven Schiermeier2, Thomas Papathemelis3
1Department of Obstetrics and Gynecology, University of Witten-Herdecke, Rheinlandclinics Dormagen, 41540 Dormagen, Germany.
Journal of Clinical Medicine
|January 13, 2021
Summary
This study shows that combining native tissue repair with pectopexy (a surgical procedure) offers high patient satisfaction and effective treatment for pelvic organ prolapse. The approach demonstrates excellent short-term outcomes with minimal complications.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Pelvic Floor Reconstruction
Background:
- Growing efforts to reduce mesh use in favor of traditional native tissue repair strategies.
- Previous randomized trials indicate no severe risks associated with combining native tissue repair and mesh for apical repair.
- Need for evaluating short-term outcomes of combined native tissue repair and pectopexy/sacrocolpopexy.
Purpose of the Study:
- To present the short-term follow-up results of an international multicenter study on pectopexy combined with native tissue repair.
- To evaluate the efficacy and patient satisfaction of this combined surgical approach.
Main Methods:
- International multicenter trial involving 13 surgeons across four European countries.
- Standardized pectopexy approach using a prefabricated mesh (PVDF PRP 3 × 15 Dynamesh) solely for apical repair.
- Native tissue repair for all other defects; colposuspension or TVT for incontinence. Data collected over 14 months; 501 surgeries registered, 264 patients evaluated at 12-18 months.
Main Results:
- High overall success rate for apical repair (96.9%) and patient satisfaction (95.5%).
- Significant symptom improvement reported: pelvic pressure (95.2%), pain (98.0%), and urgency (86.0%).
- No major complications, mesh exposure, or mesh-related issues observed during the follow-up period.
Conclusions:
- Pectopexy combined with native tissue repair yields high patient satisfaction and favorable clinical outcomes in routine practice.
- The procedure is recommended for general urogynecological practitioners experienced in laparoscopy.
- This combined approach offers an effective treatment option with a favorable safety profile.
