Comparative mid-term anatomical and functional outcomes following laparoscopic sacrocolpopexy in women under and over 65: results from a prospective study

Abstract

LS was associated with high anatomical success rate and good functional outcomes, regardless of age at the time of surgery. LS should thus be considered in women over 65. Beyond age, the route of surgery should be driven by patient's choice and medical condition.

Comparison of outcomes of laparoscopic sacrocolpopexy with concomitant supracervical hysterectomy or uterine preservation

“…Sample sizes of 56 and 28 patients in the LSC/SCH and LSC/UP groups respectively provided a post-hoc power of 45% to detect CF in the two groups (3.6% and 10.7% respectively), based on a 5% type I error rate. Variables included in the PSM were selected based on prior studies [ 16 – 20 ] and factors that may clinically influence outcomes. All covariates (potential confounders) affecting the outcomes were selected.…”

“…A comparison between LSC/UP and LSC/SCH was performed using PSM (1:2) to evaluate CF. The UP and SCH cohorts were matched at baseline according to age [ 16 ], BMI [ 17 ], CCI, vaginal parity, POP-Q stage [ 18 ], follow-up, Ba measurement [ 19 ], and anterior or anterior and posterior mesh implants [ 20 ]. We used the Kaplan–Meier method and log-rank test to compare the CF rates of the matched groups.…”