OBJECTIVE: To evaluate the efficacy of laparoscopic colpo-uterine butterfly suspension and compare it to laparoscopic sacrocervicopexy for apical support in sexually active patients of pelvic organ prolapse.
STUDY DESIGN: Twenty-there women with symptomatic prolapse of apical prolapse underwent laparoscopic colpo-uterine butterfly suspension and forty-five underwent laparoscopic sacrocervicopexy at the first affiliated of Zhengzhou University between January 2010 and June 2013. They all presented with at least a stage 2 apical prolapse. Pre- and post-operative data referring to pelvic organ prolapse quantification (POP-Q) system were compared. At the same time, validated questionnaire of the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12) were included.
RESULTS: From 2010 to 2013, 68 patients were included. Only 3 cases lost the follow-up in the Laparoscopic sacrocervicopexy. In the laparoscopic colpo-uterine butterfly suspension, there was no recurrence versus in five the laparoscopic sacrocervicopexy. When considered the operating time and blood loss, the laparoscopic colpo-uterine butterfly suspension was more favorable. Erosion was higher in the laparoscopic sacrocervicopexy compared to the other group (0% vs 21.4%). There was no difference in the postoperative PFDI-20 score (P=0.3079), and PFIQ-7 score (P=0.8889) between the two groups, while the PISQ-12 score was much higher in the laparoscopic colpo-uterine butterfly suspension than the other group (P=0.0076).
CONCLUSION: Laparoscopic colpo-uterine butterfly suspension is a more effective option for sexually active women with pelvic organ prolapse.
Written by:
Li S, Ji M, Zhao Z. Are you the author?
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Zhengzhou University, Number 1. East Street of Jian She, Zhengzhou 450052, China. ;
Reference: Eur J Obstet Gynecol Reprod Biol. 2015 Mar 10;188:74-78.
doi: 10.1016/j.ejogrb.2015.03.007
PubMed Abstract
PMID: 25801721