Clinical results after laparoscopic sacrocolpopexy for genital prolapse - a high success rate: A three-year follow-up study.

Abstract

<h4>Background</h4>Laparoscopic sacrocolpopexy is an effective method for the treatment of pelvic organ prolapse which gives very good anatomical and functional results.<h4>Objective</h4>To assess the subjective and objective rate of success and complications after laparoscopic sacrocolpopexy.<h4>Study design</h4>We followed 356 of the 482 patients with genital prolapse who have underwent laparoscopic sacrocolpopexy performed at the Obstetrics and Gynecology Ward of MBAL "Trakia" EOOD, Stara Zagora, Bulgaria, for a period of 3 years. We performed gynecological examinations and patient history and objective data on a number of indicators related to the perioperative status of patients.<h4>Results</h4>In our study, the anatomically successful surgeries were 94.9% (338), with 5.1% (18) recurrence 72.2% (13) of them were cystocele, 22.2% (4) - rectocele and only one (5.6%) - mixed). The subjective success rate - fully satisfied, is 86.47% (308). Moderately satisfied (patients with mesh erosion and newly occurring stress and mixed incontinence) were 8.42% (30), underdeveloped - 5.1% (18). Perioperative complications - hematoma of the abdominal wall around the trocar opening - 2; vaginal wall lesion during surgery for prolapse of the vault after hysterectomy - 4; rectum lesion - 1; postoperative ileus - 1. Mesh erosion in 9 patients (2.53%). De novo stress incontinence 6,46 % (23), de novo detrusor instability - 6.74% (24).<h4>Conclusion</h4>Laparoscopic sacrocolpopexy is an operative method that shows good anatomical and functional results for the treatment of genital prolapse in women.