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Updated: May 16, 2025
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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
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A Novel Approach for Apical Prolapse Surgery: Meshless Pectopexy (Salman's Modification)
Baki Erdem1, Süleyman Salman2, Zeynep Kübra Usta3
1Department of Gynecologic Oncology, The University of Mehmet Ali Aydınlar, Bakırköy Acıbadem Hospital, Halit Ziya Uşaklıgil Cad. No:1, Bakırköy, Istanbul, Turkey. drberdem@yandex.com.
International Urogynecology Journal
|April 1, 2025
Summary
Laparoscopic meshless pectopexy effectively treats apical prolapse in women, preserving the uterus. This uterine-preserving surgery improved pelvic organ prolapse scores and sexual function without mesh complications.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
Background:
- Apical prolapse significantly impacts women's quality of life.
- Uterine preservation is a key consideration in prolapse surgery.
Purpose of the Study:
- To demonstrate laparoscopic meshless pectopexy with uterine preservation.
- To evaluate the efficacy and safety of this technique.
Main Methods:
- 40 women with stage 3-4 apical prolapse underwent laparoscopic pectopexy without mesh.
- The uterus was preserved in all cases.
- Pelvic organ prolapse quantification and anatomical recurrence were assessed.
Main Results:
- Significant improvement in Pelvic Organ Prolapse Quantification central compartment scores (p < 0.001).
- Apical prolapse recurrence in 7.9% of patients.
- Improved sexual function and urinary symptom scores (PISQ-12).
Conclusions:
- Laparoscopic meshless pectopexy is an effective and feasible treatment for uterovaginal prolapse.
- The technique successfully preserves the uterus.
- It avoids mesh-related complications.
