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Capio slim suture capturing device for transvaginal apical pelvic organ prolapse
Paolo Luffarelli1, Kiara Sejfullai1, Costanza Mazzola1
1Department of Pelvic Floor Surgery and Proctology, Fondazione Policlinico Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Italy.
Summary
The Capio technique (CT) for vaginal vault prolapse surgery is effective and faster than the standard technique (ST). This method offers comparable safety and outcomes, suggesting its wider adoption for pelvic organ prolapse treatment.
Area of Science:
- Gynecology
- Urogynecology
- Surgical Innovation
Background:
- Pelvic organ prolapse affects approximately 12% of women, often requiring surgical intervention.
- Standard surgical techniques for vaginal vault prolapse exist, but novel approaches are continually explored.
- Sacrospinous ligament suspension is a common surgical method for apical prolapse.
Purpose of the Study:
- To compare the efficacy and safety of the Capio device technique (CT) for sacrospinous ligament suspension against the standard "Capio-free" technique (ST) for vaginal vault prolapse.
- To describe a standardized Capio device technique for pelvic organ prolapse repair.
- To evaluate outcomes with a prolonged follow-up period.
Main Methods:
- Retrospective evaluation of 163 women undergoing surgery for apical vaginal prolapse between January 2016 and January 2022.
- Comparison of two surgical approaches: Standard Technique (ST) and Capio Technique (CT).
- Data collected from two high-volume urogynecology centers.
Main Results:
- The Capio Technique (CT) demonstrated a significantly shorter mean operative time (86 ± 17.4 min) compared to the Standard Technique (ST) (98 ± 22.6 min) (p < 0.001).
- Intraoperative bleeding, hospital stay, and need for indwelling catheterization were comparable between the CT and ST groups (p > 0.05).
Conclusions:
- The Capio technique (CT) is an effective, secure, and easily performed method for treating vaginal vault prolapse.
- CT is associated with low risks of bleeding, perineal pain, vessel injuries, and prolapse recurrence.
- The reduced operative time with CT, coupled with similar complication rates and quality of life outcomes, supports its potential implementation in clinical practice.
