Are the Effectiveness of Minimally Invasive Sacrocolpopexy Similar with Abdominal Sacrocolpopexy for the Treatment of Vaginal Vault Prolapse?

Abstract

Objective: The aim of this study was to present the outcomes of open abdominal sacrocolpopexy (ASC) and minimally invasive sacrocolpopexies (MISC). Material and Methods: A total of 41 women with a mean age of 59 (34-76) underwent sacrocolpopexy, with 21 ASC and 20 MISCs. Within the MISC group, 17 were laparoscopic (LSC) and 3 were robotic (RSC). The patients were presented with vaginal mass in 40 and bilateral lombar pain in 1. Statistical analyses were done using Mann-Whitney U test and Fisher's exact test with SPSS version 15.0. Results: The mean follow-up time was 61.3 (11-90) months. Mean estimated blood loss and length of hospitalization were significantly longer for ASC (p<0.001), whereas the operative time was significantly shorter (p<0.001). Recurrence was seen in 1 patient after MISC and repaired with ASC. Grade 2 prolapsus was seen in 4 at follow-up, however vaginal erosion was not. The success rates were; 90.0% for MISC and 90.4% for ASC. Conclusion: MISC led to shorter hospitalization, better hemostasis than ASC. MISC is as effective as ASC for the treatment of vaginal vault prolapse. Further prospective and randomized controlled studies including large series of patients are needed.