Comparison of Postoperative Voiding and Storage Function Following Laparoscopic Sacrocolpopexy and Transvaginal Mesh...

Area of Science:

• Urology
• Gynecology
• Surgical Innovation

Background:

• Pelvic organ prolapse (POP) affects many women, with surgical repair often necessary.
• Laparoscopic sacrocolpopexy (LSC) and transvaginal mesh surgery (TVM) are common POP treatments with good anatomical results.
• Comparative data on postoperative urinary function after LSC versus TVM in matched patients are limited.

Purpose of the Study:

• To compare postoperative voiding and storage function after LSC and TVM.
• To evaluate urinary outcomes in well-matched patient cohorts undergoing these POP surgeries.

Main Methods:

• Retrospective analysis of 241 POP patients (94 LSC, 147 TVM).
• Propensity score matching used to balance baseline characteristics (age, BMI, diabetes, prior laparotomies, POP stage).
• Postoperative outcomes assessed via postvoid residual volume (PVR), International Prostate Symptom Score (IPSS), Quality of Life (QOL) scores, and pad tests at 3, 6, and 12 months.

Main Results:

• Propensity score matching yielded comparable groups with no significant baseline differences.
• Both LSC and TVM groups showed significant improvements in PVR, IPSS, and QOL scores postoperatively.
• No significant differences in urinary function outcomes (PVR, IPSS, QOL, pad tests) were observed between LSC and TVM at 12 months.

Conclusions:

• Both LSC and TVM effectively improve pelvic organ prolapse symptoms and associated urinary dysfunction.
• Given its shorter operative time and lower complication rates, TVM may be a suitable alternative for POP surgical management.