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Erschienen in:
01.01.2011 | Original Article
Laparoscopic sacrocolpopexy: an observational study of functional and anatomical outcomes
Erschienen in: International Urogynecology Journal | Ausgabe 1/2011
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Introduction and hypothesis
The aim of the study was to evaluate the clinical and functional outcomes of laparoscopic sacrocolpopexy, in particular its effect on female sexual function.
Methods
A retrospective observational study of women undergoing laparoscopic sacrocolpopexy between February 2005 and March 2009 was undertaken. Pelvic organ support was assessed objectively using the pelvic organ prolapse quantification scale (POP-Q). Functional outcomes were assessed using the International Consultation on Incontinence questionnaire for vaginal symptoms (ICIQ-VS), both preoperatively and at 6–36 months postoperatively.
Results
Eighty-four women with a mean age of 65 years (range, 49–78 years) were studied. At follow-up in clinic, all women had good vault support (mean point C, −8.9; range, 10 to −8). Subjective improvements in prolapse symptoms and sexual well-being were observed with significant reductions in the respective questionnaire scores.
Conclusions
Our results confirm previous findings that laparoscopic sacrocolpopexy is a safe and efficacious surgical treatment for post-hysterectomy vaginal vault prolapse. It provides excellent apical support and good functional outcome with overall improvement in sexual function.