Short‑term outcomes of patients undergoing laparoscopic sacrocolpopexy without mesh for the treatment of pelvic organ prolapse with apical compartment defect

Abstract

The present study aimed to investigate the clinical efficacy and safety of laparoscopic sacrocolpopexy (LSC) without mesh in the treatment of female pelvic organ prolapse (POP) with an apical compartment defect (a‑POP). For this purpose, a total of 24 patients with POP [POP quantification (POP‑Q) ≥II] who underwent LSC without mesh between January, 2019 and August, 2020 were analyze retrospectively. The duration of the surgery, intraoperative blood loss, post‑operative hospital stay, catheter removal time, post‑operative pain and post‑operative complications were recorded and evaluated. The changes in the POP‑Q scores at 3 months post‑surgery were then analyzed. The pelvic floor distress inventory short form 20 (PFDI‑20) was used to evaluate the post‑operative systemic improvement and subjective satisfaction rate of the patients. All surgeries were successfully completed. The mean duration of the surgery 135.3±31.5 min. The mean loss of blood was 22.9±15.1 ml. No injuries to the great vessels, nerves, rectum, urethra or bladder occurred. The catheter was retained for 2 days and all patients were able to micturate following extubation. The mean observation time following surgery in hospital was 7 days. The average follow‑up time was 9.4±4.0 months. According to POP‑Q scores, the anatomic cure rate of the LSC without mesh was 100%. The PFDI‑20 scores decreased from 90.6±24.6 to 55.8±18.5 (P<0.0001), and the subjective satisfaction rate was 100% (24/24).