Short‐term results of changes in existing and de novo lower urinary tract symptoms after robot‐assisted laparoscopic uterosacral ligament suspension and sacrocolpopexy

Kurdoğlu, Mertihan; Ünlü, Serdar; Antonetti‐Elford, Megan; Kurdoğlu, Zehra; Kılıç, Gökhan

doi:10.1111/luts.12219

Cited by 8 publications

(8 citation statements)

References 34 publications

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“…Loss of apical support is usually present in patients with prolapse, and sufficient support for the vaginal apex is a crucial component of an enduring surgical treatment. [ 5 ] Laparoscopic sacrocolpopexy and sacrohysteropexy (uterus preserving sacrocolpopexy) have been demonstrated to be effective surgical techniques in apical prolapse treatment. [ 6 ] They provide good apical support.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Quality of Life and Female Sexual Function Following Laparoscopic Pectopexy and Laparoscopic Sacrohysteropexy in Apical Prolapse Patients

Obut

Oğlak

Akgöl

2021

Gynecology and Minimally Invasive Therapy

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Objectives: We sought to compare the surgical outcomes, safety, effectiveness, and mid-term outcomes in patients who had undergone laparoscopic hysterosacropexy and laparoscopic pectopexy due to apical prolapse. Materials and Methods: This prospective randomized study was conducted on a total of 62 women who underwent apical prolapse surgery (32 undergoing a pectopexy and 30 undergoing a sacrohysteropexy) between June 2015 and June 2017. Patients with symptomatic uterine or vaginal vault prolapse with stage 2 or worse were included in the sudy. Before and after the operation, we used the Pelvic Organ Prolapse Quantification System (POP-Q) and questionnaires, which are the Prolapse Quality of Life Questionnaire (P-QOL) and Female Sexual Function Index (FSFI), to evaluated cases. Baseline characteristics, perioperative and postoperative complications, and follow-up results at 12 months were also evaluated. Results: All domains of POP-Q, P-QOL, and FSFI scores improved significantly after surgery both in pectopexy and sacrohysteropexy group. The postoperative complications of both procedures were similar except for constipation after surgery (3.2% in the pectopexy group and 20% in the hysterosacropexy group [ P = 0.036]). Conclusion: Both sacrohysteropexy and pectopexy are effective surgical options for apical prolapse patients. The pectopexy is an acceptable alternative to laparoscopic sacrohysteropexy because of its less complexity and not reducing pelvic space for the rectum to exist. We suggest that the laparoscopic pectopexy may be widely used in clinical routine.

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Section: Introductionmentioning

confidence: 99%

Comparison of the Quality of Life and Female Sexual Function Following Laparoscopic Pectopexy and Laparoscopic Sacrohysteropexy in Apical Prolapse Patients

Obut

Oğlak

Akgöl

2021

Gynecology and Minimally Invasive Therapy

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“…In our study the patient satisfaction related to urinary and bowel complaints post surgery as assessed by PFDI-20 Score was more in patients who underwent high uterosacral suspension patients. A study conducted by Bakisololo et al in 2018 showed that there was no improvement of colorectal -anal symptoms in both surgeries [9] . Similarly study of Silva et al revealed that that there was no benefit in bowel symptoms post vaginal uterosacral suspension [10] .…”

Section: Discussionmentioning

confidence: 93%

“…Patients's subjective assessment of quality of life post surgery was assessed using (i) pelvic floor distress inventory (PFDI-20) &(ii) pelvic floor impact Questionnaire. (PFIQ-7) [9] . Results: Out of 50 patients group I(sacrocolpopexy group) included 28 patients.…”

mentioning

confidence: 99%

A comparative study of post-surgical outcome between abdominal sacrocolpopexy and abdominal high uterosacral suspension for vault prolapse

Gupta¹,

Singh²

2019

Int. J. Clin. Obstet. Gynaecol.

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Background: Pelvic organ prolapse has become an important health and social issue. With increasing life expectancy in women risk of post hysterectomy vault prolapse. Various operartive procedures have been suggested for vault prolapse. This study aims to compare the surgical outcome of the abdominal High Uterosacral ligament suspension and the abdominal Sacrocolpopexy. Materials and Methods: This is a retrospective study. A total of 50 patients with history of reconstructive surgery for stage 3 vault prolapse 6months back were included in the study. These patients were divided into 2 groups. Group I included patients who had undergone abdominal sacrocopopexy for vault prolapse. Group II included patients who had high uterosacral suspension for vault prolapsed. Each patient was thoroughly examined and meticulous history was taken and recorded. The anterior posterior and central compartment defect were analysed using Pelvic Organ Prolapse Quantification (POP-Q) and Total Vaginal Length was measured. Patients's subjective assessment of quality of life post surgery was assessed using (i) pelvic floor distress inventory (PFDI-20) &(ii) pelvic floor impact Questionnaire.(PFIQ-7) [9] . Results: Out of 50 patients group I(sacrocolpopexy group) included 28 patients. Group II (high uterosacral suspension group) had 22 patients. Sacrocolpopexy proved to be better to high uterosacral suspension in the posterior compartment defect, the postoperative mean for Bp was (-2.49±1.89 versus -2.04±1.28, P=0.008). The high uterosacral suspension was superior to sacrocolpopexy in the anterior compartment. Aa(-2.38±1.1Vs--2.78±0.42, P<0.04). Both sugeries were equally effective in treating central compartment defects. Total vaginal length was more in sacrocopopexy gp. (6.43±0.72 versus 4.89±0.69, P=0.04) Conclusion: Sacrocolpopexy is more beneficial for posterior compartment defects in pelvic organ prolapse. Uterosacral suspension is beneficial for treatment of anterior compartment defects and urinary symptoms. Both surgeries are equally effective in central compartment defect treatment.

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“…We noticed that neither the patients of LSC group nor those of the LHUSL group were satisfied in the CRADI-8 and CRAIQ-7, thus indicating that the Colorectal-anal symptoms remained the same after both surgeries. A previous study from 2018 that compared the robotic-assisted uterosacral ligament suspension and the robotic-assisted sacrocolpopexy also did not find any statistical significance in bowel function [17].Similarly, a recent study using vaginal uterosacral ligament vault suspension did not find a significant improvement in bowel function [18].…”

Section: Discussionmentioning

confidence: 97%

Comparison between Laparoscopic High Uterosacralligament Suspension and Laparoscopic Sacrocolpopexy: A Retrospective Study

Bakisololo¹,

Wang²,

Bazolana³

et al. 2018

IJCRR

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Short‐term results of changes in existing and de novo lower urinary tract symptoms after robot‐assisted laparoscopic uterosacral ligament suspension and sacrocolpopexy

Cited by 8 publications

References 34 publications

Comparison of the Quality of Life and Female Sexual Function Following Laparoscopic Pectopexy and Laparoscopic Sacrohysteropexy in Apical Prolapse Patients

Comparison of the Quality of Life and Female Sexual Function Following Laparoscopic Pectopexy and Laparoscopic Sacrohysteropexy in Apical Prolapse Patients

A comparative study of post-surgical outcome between abdominal sacrocolpopexy and abdominal high uterosacral suspension for vault prolapse

Comparison between Laparoscopic High Uterosacralligament Suspension and Laparoscopic Sacrocolpopexy: A Retrospective Study

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