Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan;49(1):341-349.
doi: 10.1111/jog.15459. Epub 2022 Oct 5.

Uterine-sparing laparoscopic lateral suspension in the treatment of pelvic organ prolapse

Serkan Kumbasar  1 , Suleyman Salman  1 , Ozlem Sogut  1 , Fatma K Gencer  1 , Havva B Bacak  1 , Ayse D Tezcan  1 , Gözde Y Timur  1
Affiliations

Uterine-sparing laparoscopic lateral suspension in the treatment of pelvic organ prolapse

Serkan Kumbasar et al. J Obstet Gynaecol Res. 2023 Jan.

Abstract

Aim: Apical prolapse is an important component of pelvic organ prolapse. The aim of our study was to investigate the effectiveness of laparoscopic lateral suspension (LLS) surgery, which we performed while sparing the uterus.

Methods: LLS surgery was performed on 62 patients due to apical prolapse, preserving their uterus. The patients' pelvic organ prolapse quantification system (POP-Q) points and sexual function using pelvic organ prolapse/urinary incontinence sexual function questionnaire (PISQ-12) prior to and 12 months following the surgery were compared, and the results were evaluated.

Results: The POP-Q points and PISQ-12 scores evaluating sexual function of the patients who underwent LLS were significantly improved compared to pre-operation values (p ˂ 0.001). No intraoperative complications were observed in the patients. Recurrence was observed in 6 (9.6%) of 62 total cases in post-operative follow-up. Apical prolapse was seen in two patients (3.2%), and anterior vaginal wall recurrence was observed in one patient (1.6%). Posterior vaginal wall recurrence was seen in three patients (4.8%). Pelvic pain complications were observed in four patients (6.4%) in the postoperative follow-up. Mesh erosion was not observed in any of the cases. It was observed that 5 (38%) of 13 patients with stress urinary incontinence (SUI) had improved SUI complaints after surgery. The mean operation time was 66.3 ± 12.3 min.

Conclusion: LLS is an effective and safe method for patients with apical prolapse who want to preserve their uterus. LLS can be applied as an alternative to the sacrocolpopexy procedure, which has risks such as potentially serious neurological and life-threatening vascular injury in the sacral region.

Keywords: laparoscopic lateral suspension; pelvic organ prolapse; uterine-sparing surgery.

PubMed Disclaimer

References

    1. Handa VL, Garrett E, Hendrix S, Gold E, Robbins J. Progression and remission of pelvic organ prolapse: a longitudinal study of menopausal women. Am J Obstet Gynecol. 2004;190(1):27-32. https://doi.org/10.1016/j.ajog.2003.07.017
    1. Smith FJ, Holman CDJ, Moorin RE, Tsokos N. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010;116(5):1096-100. https://doi.org/10.1097/AOG.0b013e3181f73729
    1. Yassa M, Tug N. Uterus-preserving laparoscopic lateral suspension with mesh operation in pelvic organ prolapse: initial experience in a single tertiary center with a median 24-month follow-up. Geburtshilfe Frauenheilkd. 2019;79(9):983-92. https://doi.org/10.1055/a-0941-3485
    1. Veit-Rubin N, Dubuisson J-B, Gayet-Ageron A, Lange S, Eperon I, Dubuisson J. Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients. Int Urogynecol J. 2017;28(11):1685-93. https://doi.org/10.1007/s00192-017-3327-2
    1. Barber MD, Maher C. Apical prolapse. Int Urogynecol J. 2013;24(11):1815-33. https://doi.org/10.1007/s00192-013-2172-1