Laparoscopic Pectopexy for Recurrent Pelvic Organ Prolapse after Laparoscopic Sacrocolpopexy

Abstract

Laparoscopic sacrocolpopexy (LSC) provides excellent long-term anatomic and functional results [1], with a 3.7% cumulative prolapse recurrence after LSC over 10 years’ follow-up [2]. Surgery for recurrent pelvic organ prolapse (POP) after LSC is debated. A reoperation, when the sacral promontory has been dissected anteriorly, can be associated with bowel, ureteral, and vascular injuries due to distorted anatomy [3]. A new procedure was described in 2007 to treat female POP: laparoscopic pectopexy (LP) [4].