Hong Kong Med J 2011;17:301–5 | Number 4, August 2011
Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical and functional outcomes
Cindy MY Chan, Helen HX Liang, WW Go, William WK To, KM Mok
Department of Obstetrics and Gynaecology, United Christian Hospital, Kwun Tong, Hong Kong
OBJECTIVE. To evaluate the anatomical and functional outcomes following laparoscopic sacrocolpopexy in a local unit.
DESIGN. Retrospective case series.
SETTING. A regional hospital in Hong Kong.
PATIENTS. All women who underwent laparoscopic sacrocolpopexy for symptomatic uterine or post-hysterectomy prolapse from January 2003 to December 2008.
MAIN OUTCOME MEASURES. Anatomical outcomes, functional outcomes including complications.
RESULTS. A total of 31 patients were recruited. The success rate in treating apical vaginal wall prolapse was 100%. There were no recurrences of vault prolapse (defined as stage II or higher). Approximately 19% of women had anterior vaginal wall prolapse and 23% had urinary stress incontinence postoperatively; 6% had a second operation because of anterior vaginal wall prolapse. The rates of dyspareunia and constipation were low. The mean hospital stay was 4 (range, 2-11) days. Two patients sustained bladder injuries and one rectal injury resulting in a rectovaginal fistula. For three patients the procedure was converted to a laparotomy.
CONCLUSIONS. Laparoscopic sacrocolpopexy is feasible in our population and has a high success rate for treating apical vaginal wall prolapse. The incidence of complications was acceptable.
Key words: Laparoscopy; Pelvic organ prolapse/ surgery; Sacrococcygeal region; Surgical mesh; Treatment outcome
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