Abstract

Study Objective To evaluate apical support in patients desiring uterine preservation with pelvic organ prolapse who underwent laparoscopic sacrocervicopexy. Design Retrospective case series report (Canadian Task Force classification III). Setting Academic community teaching hospital. Patients Forty consecutive women who underwent laparoscopic sacrocervicopexy. Interventions Synthetic mesh was used to attach the distal uterosacral ligaments and posterior endopelvic fascia to the anterior longitudinal ligament of the sacral promontory. Measurements and Main Results Pelvic organ prolapse quantification system measurements were used and apical support was evaluated using point C. Mean C was −1.13 (+9 to −4) preoperatively, −5.28 (−3 to −13) at 6 weeks postoperatively, −5.26 (−3 to −8) at 6 months postoperatively, and −4.84 (−3 to −7) at 1 year postoperatively. Conclusion Laparoscopic sacrocervicopexy is an effective option for women with pelvic organ prolapse who desire uterine preservation.

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