Clinical results after laparoscopic sacrocolpopexy for genital prolapse − a high success rate: A three-year follow-up study

Background

Laparoscopic sacrocolpopexy is an effective method for the treatment of pelvic organ prolapse which gives very good anatomical and functional results.

Objective

To assess the subjective and objective rate of success and complications after laparoscopic sacrocolpopexy.

Study design

We followed 356 of the 482 patients with genital prolapse who have underwent laparoscopic sacrocolpopexy performed at the Obstetrics and Gynecology Ward of MBAL “Trakia” EOOD, Stara Zagora, Bulgaria, for a period of 3 years. We performed gynecological examinations and patient history and objective data on a number of indicators related to the perioperative status of patients.

Results

In our study, the anatomically successful surgeries were 94.9% (338), with 5.1% (18) recurrence 72.2% (13) of them were cystocele, 22.2% (4) − rectocele and only one (5.6%) – mixed). The subjective success rate – fully satisfied, is 86.47% (308). Moderately satisfied (patients with mesh erosion and newly occurring stress and mixed incontinence) were 8.42% (30), underdeveloped – 5.1% (18). Perioperative complications – hematoma of the abdominal wall around the trocar opening – 2; vaginal wall lesion during surgery for prolapse of the vault after hysterectomy – 4; rectum lesion – 1; postoperative ileus − 1. Mesh erosion in 9 patients (2.53%). De novo stress incontinence 6,46 % (23), de novo detrusor instability − 6.74% (24).

Conclusion

Laparoscopic sacrocolpopexy is an operative method that shows good anatomical and functional results for the treatment of genital prolapse in women.