Abstract
Objective: The incidence of pelvic organ prolapse (POP) has been increasing in the aging society. Recently, the use of tension-free vaginal mesh (TVM) and laparoscopic sacral colpopexy (LSC) have become the new standard method. We reviewed our cases to evaluate the effectiveness of LSC for POP.
Methods: We reported 6 cases of LSC performed at our hospital from 2010 to 2013. We reviewed age, indication, length of hospital stay, operation duration, amount of bleeding during operation, complications, and postoperative recurrence.
Results: Two cases were of vaginal vault prolapse, and 3 were of recurrence after surgery for POP. The mean age of the patients was 63.1 ± 8.8 yr; length of hospital stay, 7.16 ± 0.9 days; operative duration, 213 ± 67.4 min; and amount of bleeding, 66.7 ± 108 mL. No complications occurred after surgery. Five patients underwent the single-mesh method, and one patient underwent the double-mesh method. There were no recurrence cases after surgery.
Conclusion: LSC has a longer operative duration than TVM or vaginal hysterectomy and colporrhaphy, but has many advantages such as less invasiveness and usefulness in preservation of vaginal function. anterior-TVM will become the standard method for cystocele. On the other hand, posterior-TVM has been discouraged because of the risk of rectal damage. LSC would be the standard method for prolapse of the uterus and vaginal vault prolapse. However, the method is still under discussion. Further reviews and improvements of LSC are necessary to make it a more efficacious operative method for pelvic organ prolapse.
