Publication:

Feasibility of laparoscopic sacrocolpopexy in pelvic organ prolapse: a single centre prospective observational study

Background Pelvic organ prolapse (POP) is a prevalent gynaecological condition that significantly impacts women's quality of life across all age groups. Surgical treatment is often necessary, laparoscopic sacrocolpopexy (LSC), offers a minimally invasive option with promising results. This study done in a tertiary care laparoscopic and robotic centre (GEM Hospital, Coimbatore) aims to explore the advantages of laparoscopic sacrocolpopexy.

Methods This is a prospective study conducted over a period of 5 years. The participants are women who attended the gynecology clinic and were detected to have prolapse symptoms with a grade 2 or more descent of anterior wall, apex or posterior wall of vagina. Participants were followed until the 6th month of post-operative period.

Results A total of 54 women were included in the study, most of them being multiparous. 30 out of the 54 women were obese, that signifies the association of obesity with pelvic organ prolapse. 54 patients underwent laparoscopic sacrocolpopexy, of which 7 patients underwent concomitant total laparoscopic hysterectomy (TLH) with sacrocolpopexy. 4 patients underwent laparoscopic sacrocolpopexy along with paravaginal cystocoele repair. The average time calculated was 182 minutes. All the patients reviewed at 3 months and 6 months post-op, had no symptoms of descent and on examination, 2 patients had Bp point at the level of -1.

Conclusions Laparoscopic sacrocolpopexy offers comparable objective and subjective cure rates to open surgery and is a safe and effective treatment for vaginal vault prolapse, providing long-term anatomical restoration and cure.