Comparison of 2-year follow-up outcomes of laparoscopic lateral suspension and sacrospinous fixation in apical compartment prolapse: an observational study

Baki Erin K., Tastan A. S., Katirci Y., Özdemir A. Z., Güven D., ÖNEM K., ...Daha Fazla

ARCHIVES OF GYNECOLOGY AND OBSTETRICS, cilt.307, sa.6, ss.1859-1865, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 307 Sayı: 6
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1007/s00404-023-06958-1
  • Dergi Adı: ARCHIVES OF GYNECOLOGY AND OBSTETRICS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1859-1865
  • Anahtar Kelimeler: Apical prolapse, Female Sexual Function Index, Laparoscopic lateral suspension, Pelvic Organ Prolapse Symptom Score, Sacrospinous fixation, PELVIC ORGAN PROLAPSE, VAGINAL VAULT PROLAPSE, SEXUAL FUNCTION, REPAIR, VALIDATION, SURGERY, SERIES, MESH
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

PurposeThis study aimed to compare the results of patients with laparoscopic lateral suspension (LLS) and sacrospinous fixation (SSF).MethodsThis prospective observational study included 52 patients who underwent LLS and 53 patients who underwent SSF due to pelvic organ prolapse. The pelvic organ prolapse's anatomical cure and the frequency of recurrence have been recorded. Female Sexual Function Index, Pelvic Organ Prolapse Symptom Score, and complications were evaluated preoperatively and at the postoperative 24th month.ResultsIn the LLS group, the subjective treatment rate was 88.4% and the anatomical cure rate for apical prolapse was 96.1%. In the SSF group, the subjective treatment rate was 83.0% and the anatomical cure rate for apical prolapse was 90.5%. There was a significant difference between the groups regarding Clavien-Dindo classification and reoperation (p < 0.05). Female Sexual Function Index, and the Pelvic Organ Prolapse Symptom Score were different between the groups (p < 0.05).ConclusionsThis study showed that there is no difference between two surgical techniques in apical prolapse cure rates. However, the LLS seem preferable in terms of the Female Sexual Function Index, Pelvic Organ Prolapse Symptom Score, reoperation, and complications. We need larger sample size studies in terms of incidence of complications and reoperation.