Laparoscopic sacrocolpopexy for pelvic organ prolapse: Comparison of standard versus tacker combination method.

Abstract

To compare the surgical outcomes of laparoscopic sacrocolpopexy for pelvic organ prolapse between a group in which only sutures were used (standard method), and a group in which a combination of tackers and sutures were used (tacker combination method). A total of 77 patients who underwent laparoscopic sacrocolpopexys from June 2016 to October 2019 were divided into a suture group (36 patients) and a suture+tacker group (41 patients). We retrospectively compared operation time, amount of blood loss, postoperative length of hospital stay, incidence of perioperative complications and anatomical cure rate 1year after surgery. Lower urinary tract symptoms were evaluated using symptom questionnaires and objective parameters. Operation time in the suture+tacker group was shorter (104.9±27.0 vs 147.5±33.7min; P<0.0001). The incidence of perioperative complications in the suture group and the suture+tacker group was 2.8% and 2.4%, respectively (P=0.9409). Anatomical cure rates at 1year after surgery were 94.4% and 100%, respectively (P=0.2153). Both groups showed significant improvement after 1year for International Prostate Symptom Score total and quality of life score, Overactive Bladder Symptom Score total score, voided volume, maximum urinary flow rate and post-void residual. [Corrections added on 7 September 2021 after first online publication: the first two P-values have been updated.] CONCLUSIONS: The combined use of sutures and tackers in laparoscopic sacrocolpopexy simplifies the procedure and translates into shorter operation time. Surgical outcomes at 1year and improvement of lower urinary tract symptoms are similar regardless of the technique.