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Related Experiment Video

Updated: Jan 9, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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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.

Revista Brasileira De Ginecologia E Obstetricia : Revista Da Federacao Brasileira Das Sociedades De Ginecologia E Obstetricia
|December 4, 2025
PubMed
Summary

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.

Keywords:
Apical genital prolapsePelvic organ prolapseSacrocolpopexySuturesUrogenital surgical proceduresUterine prolapse

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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.