Pectopexy, Pelvic Organ Prolapse, Pelvic Organ Prolapse Vaginal Surgery, Sacrocolpopexy
Conditions
Keywords
Pelvic organ prolapse, Pectopexy, Sacrocolpopexy
Brief summary
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.
Interventions
PROCEDURELaparoscopic pectopexy
Laparoscopic pectopexy with inverted T-mesh for concomitant apical and anterior vaginal wall prolapse repair
PROCEDURELaparoscopic sacrocolpopexy
Laparoscopic sacrocolpopexy with double mesh for pelvic organ prolapse repair
Sponsors
Chung Shan Medical University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Presentation with a symptomatic uterine prolapse ≧ POP-Q stage 2 in patients who wished to retain the uterus
Exclusion criteria
* No known uterine or cervical pathology, no previous prolapse mesh repair, and no diseases known to affect bladder or bowel function
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pelvic Organ Prolapse Anatomical Outcome | 1 year post-operation | 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. |
| Rate of distress caused by pelvic floor symptoms | 1 year post-operation | These outcomes were assessed pre- and post-operation via the Pelvic Floor Distress Inventory (PFDI-20) questionnaire. Higher scores indicated greater symptom distress. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of surgical complications | 1 year post-operation | Complications arising from the hospital or operative course |
| Rate of Reoperations | 1 year post-operation | The number of reoperations that were needed due to the recurrence of pelvic organ prolapse found within 1 year post-operation |
Countries
Taiwan
Outcome results
None listed