Laparoscopic sacrocolpopexy with bone anchor fixation: Short-term anatomic and functional results
International Urogynecology Journal: and pelvic floor dysfunction , Volume 23 - Issue 4 p. 481- 486
Introduction and hypothesis: The aim of this study was to evaluate short-term anatomic and functional outcomes and safety of laparoscopic sacrocolpopexy with bone anchor fixation. Methods: A prospective cohort study of women undergoing laparoscopic sacrocolpopexy between 2004 and 2009. Anatomic outcome was assessed using the pelvic organ prolapse quantification score (POP-Q). Functional outcomes were assessed using the Urogenital Distress Inventory, Defecatory Distress Inventory, and the Incontinence Impact Questionnaire preoperatively and at 6 months postoperatively. The Wilcoxon signed rank test was used to test differences between related samples. Results: Forty-nine women underwent laparoscopic sacro-colpopexy. The objective success rate in the apical compartment was 98%, subjective success rate was 79%. One mesh exposure (2%) was found. One conversion was necessary due to injury to the ileum. Conclusions: Laparoscopic sacrocolpopexy with bone anchor fixation is a safe and efficacious treatment for apical compartment prolapse. It provides excellent apical support and good functional outcome 6 months postoperatively.
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|International Urogynecology Journal: and pelvic floor dysfunction|
Withagen, M.I.J, Vierhout, M.E, Mannaerts, G.H.H, & van der Weiden, R.M. (2012). Laparoscopic sacrocolpopexy with bone anchor fixation: Short-term anatomic and functional results. International Urogynecology Journal: and pelvic floor dysfunction (Vol. 23, pp. 481–486). doi:10.1007/s00192-011-1599-5