Patients referred for pelvic reconstructive surgery frequently present with combined anterior and apical vaginal wall prolapse. Previous studies found that anterior compartment involvement is the most common and serious defect that occurs with an apical defect. To address this, many surgeons will conduct concomitant surgeries in addition to sacrocolpopexy or pectopexy. This prospective pilot study was conducted to explore the surgical outcomes and safety of an innovative laparoscopic uterine pectopexy technique using inverted T-meshes for simultaneous apical and anterior vaginal repair.
Study Type
OBSERVATIONAL
Enrollment
67
Laparoscopic pectopexy with inverted T-mesh for concomitant apical and anterior vaginal wall prolapse repair
Laparoscopic sacrocolpopexy with double mesh for pelvic organ prolapse repair
Chung Shan Medical University Hospital
Taichung, Taiwan
Pelvic Organ Prolapse Anatomical Outcome
Anatomic outcomes were assessed by evaluating the pre- and post-operative prolapse stages as evaluated by the Pelvic Organ Prolapse Quantification (POP-Q) system. The plane of the hymen was defined as zero, all measures are in centimeters proximal (negative number) and distal (positive number) to the hymen. The more positive the number, the more severe the prolapse.
Time frame: 1 year post-operation
Rate of distress caused by pelvic floor symptoms
These outcomes were assessed pre- and post-operation via the Pelvic Floor Distress Inventory (PFDI-20) questionnaire. Higher scores indicated greater symptom distress.
Time frame: 1 year post-operation
Rate of surgical complications
Complications arising from the hospital or operative course
Time frame: 1 year post-operation
Rate of Reoperations
The number of reoperations that were needed due to the recurrence of pelvic organ prolapse found within 1 year post-operation
Time frame: 1 year post-operation
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