Outpatient laparoscopic sacrocolpopexy: Feasibility and patient satisfaction

Abstract

Study objective: To assess the feasibility and patient satisfaction of outpatient management of laparoscopic sacrocolpopexy.

Design: Observational study.

Setting: Multicentric study in four French centers: La Conception University Hospital, Marseille; Simone Veil Hospital, Cannes; Simone Veil Hospital, Eaubonne; and Jules Verne Clinic, Nantes.

Patients: A total of 125 patients required laparoscopic sacrocolpopexy and accepted outpatient surgery.

Interventions: Assessment of outpatient surgery success, patient satisfaction, and self-evaluated symptom improvement after surgery.

Measurements and main results: During the study period, 574 patients required laparoscopic sacrocolpopexy, and 21.8% (125) of them met the inclusion criteria for outpatient surgery. The success rate for outpatient surgery was 95.2% (119/125). The perioperative complication rate was 4% (5/125). Among the successfully discharged outpatients, 2.5% (3/119) of them had an unscheduled visit within seven days. Among the discharged patients, 84% (105/125) answered the satisfaction questionnaire, and 88.5% (93/105) declared themselves as "satisfied" or "very satisfied" with the procedures. Patients who declared their conditions to have been "very improved" or "improved" compared to their preoperative symptomatology were 76.9% (83/108) of cases.

Conclusion: A high success rate for outpatient laparoscopic sacrocolpopexy associated with a high satisfaction rate were found in our study. The development of outpatient options for laparoscopic sacrocolpopexy was supported by our data.

Keywords: Feasibility; Laparoscopic; Pelvic organ prolapse; Prolapse repair; Same-day discharge; Satisfaction.