Bilateral Sacrospineous Colposupension in the treatment of female genital prolapse: Risk-Benefit Considerations and Six Months Follow-up

Hemptenmacher, Franziska; Ollig, Stefan; Wagner, Alexander; Vries, Anne De; Kieback, Dirk G.

doi:10.34057/ppj.2020.39.03.003

Cited by 2 publications

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“…The absence of erosion is likely related to the characteristics of the mesh (ultra-lightweight: 21 g/m 2 , monofilament, macroporous with pore size >1.9 mm, and 93% porosity) leading to rapid anatomical integration and a reduced foreign body tissue reaction. Indeed, a preliminary histopathological analysis of a BSC mesh™ (a case of total hysterectomy in a patient with the BSC mesh™) reported minimal body foreign reaction with "limited fibrosis around each individual mesh fiber without confluence" [18]. Larger prospective multicenter cohorts are still needed to confirm outcomes of our study.…”

Section: Discussionmentioning

confidence: 67%

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Long-Term Results after Bilateral Sacrospinous Colposuspension: A Prospective Study

Chêne

Cerruto

Moret

et al. 2023

JCM

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The loss of apical support is usually present in patients with pelvic organ prolapse. An effective correction for the vaginal apex may be an essential part of a durable repair for these women. Apical suspension of the sacrospinous ligament is likely one of the best treatments by the vaginal route. We proposed the evaluation of the functional and anatomical long-term results of an ultralight and macroporous sling. In this prospective study, bilateral sacrospinous colposuspension was performed in 32 patients with a specific mesh. Functional assessment with several validated quality of life questionnaires and pelvic examination was performed at 1, 6, 12, and 24 months after surgery. Pelvic examination using the POP-Q classification showed a very good efficacy of the BSC mesh with only three prolapse recurrences at 24 months after surgery. All the following QoL scores were significantly improved by two years: PFIQ-7 (p < 0.0001), PFDI-20 (p < 0.0001), and SF-12 (p < 0.0001). No improvement was achieved by the PISQ12 questionnaire. This vaginal minimally invasive procedure is effective, quick, reproducible, and easy. It may be a relevant option for a vaginal vault or cervical or uterine prolapse.

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Section: Discussionmentioning

confidence: 67%

“…Hemtenmacher et al [18] reported a series of 132 patients with a 6-month follow-up: there was no recurrence of prolapse at 6 months for the 56 patients (56/132 = 42%) following the invitation for the physical examination at 6 months. Neither rectal injury nor mesh erosion was observed.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Results after Bilateral Sacrospinous Colposuspension: A Prospective Study

Chêne

Cerruto

Moret

et al. 2023

JCM

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Anatomical and functional outcomes after bilateral sacrospinous colposuspension (BSC) for the treatment of female genital prolapse

et al. 2023

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Background Pelvic organ prolapse is a bothersome condition affecting many women at advanced age, but also frequently observed in young women with certain risk factors. Various surgical techniques have been developed with the aim of providing effective surgical treatment for apical prolapse. The vaginal bilateral sacrospinous colposuspension surgery (BSC) with ultralight mesh and utilization of the i- stich is a relatively new minimal invasive technique with very promising outcomes. The technique offers apical suspension, in the presence or absence of the uterus. The objective of this study is to evaluate the anatomical and functional outcomes of bilateral sacrospinous colposuspension with ultralight mesh in 30 Patients treated with the vaginal single incision standardized technique. Methods In this retrospective study, 30 patients were treated by BSC for significant vaginal, uterovaginal or cervical prolapse. A simultaneous anterior colporrhaphy, posterior colporrhaphy or both were performed when indicated. Anatomical and functional outcomes were assessed 1 year postoperatively using the Pelvic Organ Prolapse Quantification system (POP-Q) and the standardised Prolapse Quality of Life (P-QOL) questionnair. Results The POP-Q parameters were significantly improved at twelve months after surgery compared to baseline. The total score and all four subdomains of the P-QOL-questionnaire showed positive trends and improvement at twelve months after surgery when compared to preoperative values. All patients were asymptomatic and expressed high satisfaction one year after surgery. No intraoperative adverse events were recorded for all patients. Only minimal postoperative complications were recorded and they all resolved completely with conservative management. Conclusion This study highlights the functional and anatomical outcomes of the minimally invasive vaginal bilateral sacrospinal colposuspension with ultralight mesh for the management of apical prolapse. The one year postoperative results of the proposed procedure reflect excellent outcomes with minimal complications. The data published here are very promising and warrant further investigations and more studies to evaluate the long-term outcomes of BSC in the surgical management of apical defects. Trial registration The study protocol was approved by the Ethics Committee at the University Hospital of Cologne, Germany (Date of registration: 08.02.2022) (Registration number: 21-1494-retro) (retrospectively registered).

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Bilateral Sacrospineous Colposupension in the treatment of female genital prolapse: Risk-Benefit Considerations and Six Months Follow-up

Cited by 2 publications

References 0 publications

Long-Term Results after Bilateral Sacrospinous Colposuspension: A Prospective Study

Long-Term Results after Bilateral Sacrospinous Colposuspension: A Prospective Study

Anatomical and functional outcomes after bilateral sacrospinous colposuspension (BSC) for the treatment of female genital prolapse

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