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Updated: Jan 9, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Abdominal sacrocolpopexy: could we simplify the technique?
Edilson Benedito de Castro1, Andressa Soares Castro Alves1, Luiz Gustavo de Oliveira Brito1
1Faculdade de Ciências Médicas da Universidade Estadual de Campinas Departmentamento de Obstetrícia e Ginecologia CampinasSP Brasil Departmentamento de Obstetrícia e Ginecologia, Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Campinas, SP, Brasil.
This study compared two open sacrocolpopexy (ASC) techniques for apical prolapse. Both the traditional (ASC-T) and modified (ASC-M) methods showed similar effectiveness and low complication rates in treating pelvic organ prolapse.
Area of Science:
- Urogynecology
- Pelvic Reconstructive Surgery
- Female Pelvic Medicine
Background:
- Pelvic organ prolapse (POP) affects many women, with apical prolapse being a common type.
- Sacrocolpopexy is a surgical option for apical POP, with variations in technique.
- Comparing different surgical approaches is crucial for optimizing patient outcomes.
Purpose of the Study:
- To compare the efficacy and safety of a traditional open sacrocolpopexy technique (ASC-T) versus an open modified technique (ASC-M).
- To evaluate anatomical and subjective outcomes following these two surgical methods for apical prolapse.
Main Methods:
- A retrospective cohort study included women with stage 3 or 4 apical prolapse.
- Two techniques were compared: ASC-T (eight sutures) and ASC-M (four sutures) for vaginal mesh fixation.
- Objective assessment used the Pelvic Organ Prolapse Quantification (POP-Q) system; subjective outcomes were also recorded.
Main Results:
- 223 women (120 ASC-T, 103 ASC-M) were analyzed; age and baseline characteristics were similar.
- No significant differences were found in intraoperative bleeding or bladder injury between groups.
- Both techniques demonstrated significant anatomical improvement (POP-Q) and high subjective cure/improvement rates, with no statistically significant difference between ASC-T and ASC-M.
Conclusions:
- Both open sacrocolpopexy techniques (ASC-T and ASC-M) are effective for treating apical prolapse.
- The modified technique (ASC-M) and traditional technique (ASC-T) yield comparable objective and subjective results.
- Both surgical approaches are associated with a low rate of complications.
