Efficacy of Laparoscopic Sacrocervicopexy for Apical Support of Pelvic Organ Prolapse

Abstract

Laparoscopic sacrocervicopexy appears to be an effective option for sexually active women with pelvic organ prolapse.

Laparoscopic Supracervical Hysterectomy With Transcervical Morcellation: Our Experience

“…Several authors stressed the role of an adequate colposuspension or cervical suspension at the time of hysterectomy in patients with POP [7,8,19,20]. Sacrocolpopexy in addition to TLH is associated with an increased risk of mesh exposure at the site of the vaginal cuff (incidence between 0.8% and 9%) [19,20]. Conversely, Rosati et al [19] showed an alternative technique involving LSH and the suspension of the cervical stump to the anterior longitudinal ligament of the sacrum.…”

“…Sacrocolpopexy in addition to TLH is associated with an increased risk of mesh exposure at the site of the vaginal cuff (incidence between 0.8% and 9%) [19,20]. Conversely, Rosati et al [19] showed an alternative technique involving LSH and the suspension of the cervical stump to the anterior longitudinal ligament of the sacrum. This approach showed a low recurrence rate, absence of mesh erosion, and preservation of an adequate length of the vaginal canal.…”

“…There is a growing opinion that the uterus could have a passive role in genital prolapse. Several authors stressed the role of an adequate colposuspension or cervical suspension at the time of hysterectomy in patients with POP [7,8,19,20]. Sacrocolpopexy in addition to TLH is associated with an increased risk of mesh exposure at the site of the vaginal cuff (incidence between 0.8% and 9%) [19,20].…”

A new operation technique for uterine prolapse: Vaginally-assisted laparoscopic sacrohysteropexy

“…Three different approaches have been introduced to repair the pelvic floor such as abdominal, vaginal, and laparoscopic techniques. Hysterectomy is still considered to be the standard procedure for correcting uterovaginal prolapse ( 3 ) ; however, in the majority of cases, hysterectomy does not overcome abnormalities associated with weakened pelvic support structures such as uterosacral and cardinal ligaments ( 4 ) . Additionally, due to the belief that the uterus plays a role in sexual satisfaction, an increasing number of women avoid undergoing hysterectomy ( 5 ) .…”

Laparoscopic Sacrocolpopexy as Vaginal Vault Prolapse Treatment. Long - Term Outcomes

“…The incidence is approximately 11.6% when associated with hysterectomy due to prolapse and 1.8% associated with other causes of hysterectomy. The reported prevalence rates ranged from 0.2% to 43%, however, up to 10% are usually considered to be more realistic [4][5][6][7][8].…”