Outcome of Modified Laparoscopic Sacrocolpopexy and Its Effect on Voiding Dysfunction

Area of Science:

• Urology
• Gynecology
• Surgical Innovation

Background:

• Laparoscopic sacrocolpopexy (LSC) is a common treatment for pelvic organ prolapse (POP).
• While LSC can improve voiding, it may also cause de novo stress urinary incontinence.
• The precise effects of LSC on voiding function require further investigation.

Purpose of the Study:

• To prospectively evaluate the impact of LSC on voiding function.
• To assess changes in urodynamic parameters and patient-reported symptoms after LSC.
• To investigate the mechanisms underlying functional changes post-LSC.

Main Methods:

• Prospective study of patients with stage 3 or worse POP undergoing LSC.
• Pre- and postoperative urodynamic studies, including bladder volume, flow rate, and residual volume.
• Assessment of urinary symptoms using the International Prostate Symptom Score (IPSS) and Overactive Bladder Symptom Score (OABSS).

Main Results:

• The nonrecurrence rate was 82.3% at 3 months, with all recurrences involving bladder prolapse.
• Subjective voiding symptoms improved (IPSS), while objective storage function and urinary storage improved, with decreased residual urine.
• No significant change in maximum urinary flow rate or OABSS; retrovesical angle decreased.

Conclusions:

• Modified LSC in women with POP demonstrates favorable functional outcomes.
• Improvements were noted in subjective voiding symptoms (IPSS), post-void residual volume (PVR), and urinary storage.
• LSC offers good functional results for pelvic organ prolapse treatment.