Safety and one year outcomes following vaginally assisted laparoscopic uterine sacropexy (VALUES) for advanced uterine prolapse

Fayyad, Abdalla; Siozos, Chrysostomos S.

doi:10.1002/nau.22433

Cited by 13 publications

(51 citation statements)

References 27 publications

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“…Various techniques have been described for the treatment of uterine prolapse using vaginal, abdominal, or laparoscopic approaches . Maher et al reported a 74% objective success rate of sacrospinous hysteropexy, which compared favourably to vaginal hysterectomy with concomitant sacrospinous fixation of the vault in a retrospective series of 70 women …”

Section: Discussionmentioning

confidence: 99%

“…Traditionally vaginal hysterectomy has been widely popular among gynaecologists for the treatment of uterovaginal prolapse; however, associated with reported variable high recurrence rate (11.6–40%) . This has led to the approach being challenged as often hysterectomy results in removal of a normal organ, regarded as having a passive role in the prolapse process, where the pathology lies in the suspension of the uterus rather than the uterus itself …”

Section: Introductionmentioning

confidence: 99%

“…With the advances in laparoscopic surgery, uterine suspension via the laparoscopic route has been gaining popularity. The benefits of this technique include its minimal access approach, preservation of the uterus, and reinforcing the natural uterine support . In addition, hysteropexy has been shown to preserve the vaginal length, which may have a benefit in sexual function …”

Section: Introductionmentioning

confidence: 99%

“…Hysteropexy has been described using synthetic mesh wrapped around the cervix either through openings in the broad ligaments or vaginally assisted for advanced prolapse …”

Section: Introductionmentioning

confidence: 99%

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Efficacy and pregnancy outcomes of laparoscopic single sheet mesh sacrohysteropexy

Pandeva

Mistry

Fayyad

2016

Neurourology and Urodynamics

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Aims: To evaluate outcomes following laparoscopic single sheet mesh sacrohysteropexy for the management of uterine prolapse. Methods: One hundred and fifty-nine women underwent the procedure between August 2010 and August 2014. One hundred and forty-four patients completed the follow up assessment. At each visit, the prolapse symptoms were assessed using the prolapse quality-of-life (P-QOL) questionnaire and objectively with the use of the Pelvic Organ Prolapse Quantification (POPQ) score. The subjective outcomes were also evaluated with the use of the Patient Global Impression of Improvement (PGII) questionnaires. Perioperative complications and further surgery for prolapse were evaluated. Women who conceived following the procedure were evaluated for pregnancy outcomes and prolapse recurrence. Results: Pre-operatively, 85% (135/159) had uterine prolapse ! stage 2. Postoperatively, 95.1% (137/144) of women had anatomical success rate defined as stage 0 uterine descent. Eighty-two percent (118/144) of women reported cure of prolapse symptoms and feeling ''much better'' or ''very much better'' on postoperative PGII assessment. Eight women (5%) became pregnant following the laparoscopic sacrohysteropexy-seven had full term pregnancies and one had a miscarriage. Six out of the seven (86%) had stage 0 apical prolapse and PGII of ''much better'' at 6 months postpartum. One patient had symptomatic prolapse recurrence and underwent perineorrhaphy at 3 years. Conclusion: Laparoscopic single sheet mesh sacrohysteropexy is associated with subjective and objective improvement in prolapse symptoms and QoL that is maintained up to 48 months. Laparoscopic sacrohysteropexy can be offered to women desiring future fertility; however, further research is needed to advise on best surgical approach in women of childbearing age. Neurourol. Urodynam. 36:787-793, 2017.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Hysteropexy has been described using synthetic mesh wrapped around the cervix either through openings in the broad ligaments or vaginally assisted for advanced prolapse …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Efficacy and pregnancy outcomes of laparoscopic single sheet mesh sacrohysteropexy

Pandeva

Mistry

Fayyad

2016

Neurourology and Urodynamics

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“…Current surgical techniques include sacropexy, pectopexy, laparoscopic ligament suspension (LLS), and laparoscopic uterosacral ligament suspension (LUSLS). Modifications using the vaginal approach are also used, for example vaginally‐assisted laparoscopic uterine sacrocolpopexy …”

Section: Introductionmentioning

confidence: 99%

Comparison of laparoscopic techniques for apical organ prolapse repair – a systematic review of the literature

Szymczak

Grzybowska

Wydra

2019

Neurourology and Urodynamics

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Aims Apical defect is a pelvic organ prolapse disorder, with 5%‐15% prevalence. The aim of the study was to investigate methods of laparoscopic repair of apical defect and compare them with other techniques (open, vaginal, and robotic). Methods A systematic search of the literature was conducted in MEDLINE/PubMed and ClinicalTrials.gov databases using the following key words: apical prolapse and treatment procedures. The search was limited by using the humans filters. Only articles published in English between 2010 and 2018 were considered. Two independent authors reviewed the publications for inclusion on the basis of the following criteria: (a) use of laparoscopic techniques, and (b) apical support loss as indication for surgery. Results A total of 1002 papers were initially identified; 24 studies fulfilled the inclusion criteria. Four main laparoscopic procedures were found. The reported anatomical success rate (POP‐Q < II stage) was 77%‐100%, with patient satisfaction for pectopexy, laparoscopic sacropexy (LS), lateral ligament suspension and laparoscopic uterosacral ligament suspension (LUSLS) of 96.4%‐97.6%, 71.0%‐100%, 66.7%‐87.8%, and 95%‐95.5%, respectively. Major complications included hemorrhage, bladder, ureter, and/or bowel injuries were rare. Prolapse recurrences after LUSLS and LS were reported in 13.2% and 10.4% of patients, respectively; with reoperation rate for LS 2.2%‐12.8%. Conclusions Most studies reported anatomical and subjective outcomes, with follow‐up ranging from 1 month to >7 years. Success rates for laparoscopic and abdominal corrections of apical defect were similar; laparoscopy was superior in terms of perioperative blood loss, length of hospital stay, and recovery.

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Pelvic floor prolapse/urinary incontinence

Smilen

Ferrante

Glass

et al. 2018

Evidence‐based Obstetrics and Gynecology

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Safety and one year outcomes following vaginally assisted laparoscopic uterine sacropexy (VALUES) for advanced uterine prolapse

Abstract: VALUES is a safe and effective treatment for women with stage 3 and 4 uterine prolapse up to 12 months without the risk of vaginal shortening. Long-term results are needed to fully establish the value of this technique.

Cited by 13 publications

References 27 publications

Efficacy and pregnancy outcomes of laparoscopic single sheet mesh sacrohysteropexy

Efficacy and pregnancy outcomes of laparoscopic single sheet mesh sacrohysteropexy

Comparison of laparoscopic techniques for apical organ prolapse repair – a systematic review of the literature

Pelvic floor prolapse/urinary incontinence

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