Efficacy of mesh bilaterally sacrospinous ligament suspension versus laparoscopic sacrocolpopexy in patients with uterine prolapse

Abstract

Objective The aim in this study was to evaluate the efficacy of mesh bilaterally sacrospinous ligament suspension (MSSLS), as compared with laparoscopic sacrocolpopexy (LSC) in patients with uterine prolapse.Methods Our study evaluated 98 patients with uterine prolapse in our hospital from January 2021 to January 2023. Patients enrolled were equally divided into the study group (treated with MSSLS operation) and the control group (treated with LSC operation) by random number table. The operation conditions (including operation time, bleeding volume, indwelling catheter time, exhaust time, and hospital stay), stage of pelvic organ prolapse, postoperative recurrence rate, pain degree, quality of life, postoperative pelvic floor function, impact of sexual life, complications and recurrence rate were recorded.Results The study group demonstrated a marked reduction in the operation time, bleeding volume, indwelling catheter time, exhaust time and hospital stay when comparing with the control group (P < 0.05). Before operation, no significant difference was observed in Aa, Ba, Ap, Bp and C between the two groups (P > 0.05), while six months after operation, the five indexes in the study group were significantly lower than those in the control group (P < 0.05). The pain degree showed no significant difference between the two groups before operation (P > 0.05), while was evidently lower in the study group than control group 6 months after operation (P < 0.05). In terms of quality of life, pelvic floor function, and quality of sexual life, no significant difference was found before, 6 months and 12 months after operation (P > 0.05). All patients were followed up for 12–14 months, with an average follow-up time of (13.02 ± 1.36) months. The incidence of complications in the study group was significantly lower than the control group (P < 0.05). However, there was no recurrence in both groups, hence the difference was not statistically significant (P > 0.05).Conclusion MSSLS is a safe and effective treatment for uterine prolapse that significantly avoided complications and recurrence, which is believed available for wide application in clinical practice.