Laparoscopic sacrocolpopexy for a premenopausal case of pelvic organ prolapse complicated with uterine cervical myoma

Abstract

Pelvic organ prolapse (POP) can be managed surgically by a variety of procedures either vaginally or laparoscopically with or without mesh graft. However, in cases of premenopausal women, choosing the best way to manage the disease is difficult, considering the high physical activity and the need for preservation of sexual function. Treatment of POP is more challenging when coexistence of a uterine myoma causes an anatomical deviation. A premenopausal 50-year-old woman presenting with POP-quantification stage 3 with 4.7 cm cervical myoma was successfully treated with laparoscopic sacralcorpopexy (LSC) by using double mesh, covering both the anterior and posterior vaginal walls widely.The patient is doing well without recurrence for 20 months after the surgery with the remaining cervical myoma in place. As we have many surgical alternatives now, choosing the best procedure adapting the conditions of individual patients is important.