Laparoscopic sacrocervicopexy for the treatment of uterine prolapse: a retrospective case series report

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.