[Laparoscopic sacrocolpopexy for exteriorized pelvic organ prolapse: Mid-term functional results]

To assess feasibility and postoperative outcomes associated with laparoscopic sacrocolpopexy in patients presenting with exteriorized pelvic organ prolapse (stage>3).

Prospective study involving patients undergoing laparoscopic sacrocolpopexy for advanced stage pelvic organ prolapse. Symptoms and quality of life were evaluated at baseline and at 1, 4 and 18 months after surgery using validated questionnaires (PFDI-20 and PFIQ-7).

Sixty-three patients were included between September 2012 and January 2014. Sub-total hysterectomy and sub-urethral sling were performed at the time of surgery in 36% and 34% of patients, respectively. We observed 1 per-operative complication (bladder wound). De novo stress urinary incontinence and de novo dyspareunia persisting at 18 months occurred in 10% and 3% of cases, respectively. Recurrence rate was 1.6% at 18 months. The follow-up also revealed a significant and prolonged improvement in PFDI-20 and PFIQ-7 scores: from 98.8 at baseline to 33.9 at 18 months (P<0.01) and from 89.6 to 26.5 (P<0.001), respectively.

Laparoscopic sacrocolpopexy seems feasible and safe in patients suffering from exteriorized pelvic organ prolapse, leading to high anatomic success rate. It is also associated with a prolonged improvement in quality of life and a positive impact on symptoms related to prolapse.

Gynecologie, obstetrique, fertilite & senologie. 2017 Dec 27 [Epub ahead of print]

B André, O Jourdain, P Guerby, F Vidal, F Léonard

Service de chirurgie générale et gynécologique, CHU Rangueil, 1, avenue du Professeur Jean-Poulhès, 31059 Toulouse, France., Poly-clinique Jean-Villar, avenue Maryse-Bastié, 33520 Bruges, France., Hôpital Paule-de-Vigiuier, CHU Purpan, 330, avenue de Grande-Bretagne, 31059 Toulouse, France., Hôpital Paule-de-Vigiuier, CHU Purpan, 330, avenue de Grande-Bretagne, 31059 Toulouse, France. Electronic address: ., Centre hospitalier de Cahors, 335, rue Président-Wilson, 46000 Cahors, France.