Related Experiment Video
Updated: Jan 10, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Long-term complications and reoperation after laparoscopic apical mesh fixation: sacrocolpopexy and sacrohysteropexy
Hirotaka Sato1, Shota Otsuka1, Kenji Sugita2
1Department of Urogynecology, Hokusuikai Kinen Hospital, 3-2-1 Higashihara, Mito, Ibaraki 310-0035, Japan.
Objectives:
This study aimed to evaluate pelvic organ prolapse (POP) recurrence that required reoperation, mesh-related complications that required reoperation, and stress urinary incontinence (SUI) that required mid-urethral sling (MUS) surgery. It also aimed to identify risk factors for reoperation after laparoscopic sacrocolpopexy (SCP).
Methods:
We retrospectively analyzed 484 patients with symptomatic POP who underwent SCP at a single institution between 2015 and 2021. Data regarding POP severity and surgical techniques were collected. A Cox regression analysis was performed to assess associations between potential risk factors and reoperation for POP recurrence. Complications classified as grade III based on the Clavien-Dindo classification, such as POP recurrence, mesh-related complications, and SUI, were the primary outcomes.
Results:
The mean age at the time of SCP was 71.6 years (±7.4 years). All patients had stage III or worse POP according to the POP quantification (POP-Q) classification. The median follow-up duration was 46.0 months (interquartile range, 25.0-59.0). The overall reoperation rate was 15.3 %. The MUS procedure for SUI was the most common reoperation (7.4 %), followed by reoperation for POP recurrence (5.2 %) and reoperation for mesh-related complications (3.5 %). The Cox regression analysis revealed that a higher body mass index at the time of the initial surgery was significantly associated with an increased risk of reoperation for POP recurrence (hazard ratio, 1.136; 95 % confidence interval, 1.012-1.276).
Conclusion:
Approximately one in seven patients required reoperation after SCP. These findings may enhance preoperative counseling and support more informed decision-making.
Insights
Approximately 15% of patients needed reoperation after laparoscopic sacrocolpopexy (SCP). Higher BMI increased the risk of pelvic organ prolapse (POP) recurrence requiring further surgery.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
- Surgical Outcomes Research
Background:
- Laparoscopic sacrocolpopexy (SCP) is a surgical treatment for pelvic organ prolapse (POP).
- Reoperation rates and complications following SCP require further investigation to optimize patient outcomes.
Purpose of the Study:
- To evaluate reoperation rates for POP recurrence, mesh complications, and stress urinary incontinence (SUI) after SCP.
- To identify risk factors associated with reoperation following laparoscopic sacrocolpopexy.
Main Methods:
- Retrospective analysis of 484 patients undergoing SCP between 2015 and 2021.
- Data collected included POP severity, surgical techniques, and reoperation outcomes (POP recurrence, mesh complications, SUI requiring mid-urethral sling surgery).
- Cox regression analysis was used to identify risk factors for reoperation.
Main Results:
- The overall reoperation rate was 15.3% over a median follow-up of 46 months.
- Reoperation for SUI (7.4%) was most common, followed by POP recurrence (5.2%) and mesh complications (3.5%).
- Higher body mass index (BMI) was significantly associated with an increased risk of reoperation for POP recurrence.
Conclusions:
- About one in seven patients required reoperation after SCP.
- Findings can inform preoperative counseling and shared decision-making for patients considering SCP.
