Uterus-sparing vaginolaparoscopic sacrocolpopexy for apical pelvic organ prolapse

Abstract

By eliminating all forms of intraperitoneal suturing, performing a posterior colpotomy, and the advent of tackers without evidence of sacral ostitis, VLS seems to be a simple, feasible, effective, and fast approach for treating POP.

Biopsychosocial profile of women with pelvic organ prolapse: A systematic review

“…In the one study, which reported scores for the ICIQ-VS pain domain, women in the sample had a younger mean age 19 (38 years) compared to women in the other studies reporting on pain whose mean ages were all in the fifties and sixties. 29 , 31 , 32 , 35 This study reported a high level of pain with POP; however, the study sample of 15 women was very small.…”

“…The POP-Q stage was reported in three ways: as a grouping of 2 or more stages (i.e. women with POP stage 2–4), 27 , 30 , 31 , 34 , 37 , 38 separately reporting POP-Q stage for each compartment for each participant 23 or separately reporting the dominant compartment POP-Q stage. 22 , 24 – 26 , 28 , 29 , 32 , 33 , 35 , 36 , 39 …”

“…Thirteen used a questionnaire investigating pain or soreness relating to the pelvis, abdomen or genital area: ICIQ-VS 22 , 27 , 29 , 30 , 32 , 33 , 35 , 37 , 38 and UDI-6. 23 , 27 , 31 , 36 One study used a questionnaire assessing bodily pain (SF-36). 32 …”

“…Of the three studies using the ICIQ-VS (n = 128 women), two 22 , 31 reported all three domain scores with Cengiz et al 27 reporting on the VS and QOL domains only. Darwish et al 31 also reported all items for each domain.…”

“… 32 There was a wide distribution of pain rating in the pelvic, abdomen or genital area (measured by the UDI-6 and ICIQ-VS) ranging from low to high impact (n = 4 studies, n = 407 women). 29 , 31 , 32 , 35 …”