Skip to main content
Erschienen in: International Urogynecology Journal 8/2018

02.03.2018 | Original Article

Modified laparoscopic pectopexy: short-term follow-up and its effects on sexual function and quality of life

verfasst von: Ali Emre Tahaoglu, Mehmet Sait Bakir, Nurullah Peker, İhsan Bagli, Ahter Tanay Tayyar

Erschienen in: International Urogynecology Journal | Ausgabe 8/2018

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

This study examined the early outcomes of laparoscopic (LS) pectopexy and evaluated its effects on female sexual function and quality of life (QoL).

Methods

Twenty-two patients with apical prolapse who underwent LS pectopexy were included. Outcomes of the procedure were noted; the Female Sexual Function (FSFI) and Prolapse Quality of Life (P-QOL) questionnaires were completed preoperatively and 6 months postoperatively.

Results

There was no evidence of recurrent prolapse or constipation; the percentages of exacerbation of cystocele, rectocele, de novo stress urinary incontinence (SUI), and de novo urgency (UUI) were 4.5%, 9.0%, 4.5%, and 4.5%, respectively (mean follow-up 10.41 months). FSFI and P-QOL scores improved significantly (p < 0.05) postoperatively.

Conclusions

LS pectopexy shows promising results for pelvic organ prolapse (POP) surgery with comparable outcomes. It also improved the FSFI and P-QOL scores in POP patients.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Machin SE, Mukhopadhyay S. Pelvic organ prolapse: review of the aetiology, presentation, diagnosis and management. Menopause Int. 2011;17:132–6.CrossRefPubMed Machin SE, Mukhopadhyay S. Pelvic organ prolapse: review of the aetiology, presentation, diagnosis and management. Menopause Int. 2011;17:132–6.CrossRefPubMed
2.
Zurück zum Zitat Jelovsek JE. UpToDate. Pelvic orgn prolapse in women; choosing a primary surgical procedure. Accessed on jun 29, 2017. Jelovsek JE. UpToDate. Pelvic orgn prolapse in women; choosing a primary surgical procedure. Accessed on jun 29, 2017.
3.
Zurück zum Zitat Smith FJ, Holman CD, Moorin RE, Tsokos N. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010;116:1096–100.CrossRefPubMed Smith FJ, Holman CD, Moorin RE, Tsokos N. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010;116:1096–100.CrossRefPubMed
4.
Zurück zum Zitat Maher C, Feiner B, Baessler K, Schmid C, Haya N, Brown J. Surgery for women with apical vaginal prolapse. Cochrane Database Syst Rev. 2016;10:CD012376.PubMed Maher C, Feiner B, Baessler K, Schmid C, Haya N, Brown J. Surgery for women with apical vaginal prolapse. Cochrane Database Syst Rev. 2016;10:CD012376.PubMed
5.
Zurück zum Zitat Banerjee C, Noé KG. Laparoscopic pectopexy: a new technique of prolapse surgery for obese patients. Arch Gynecol Obstet. 2011;284:631–5.CrossRefPubMed Banerjee C, Noé KG. Laparoscopic pectopexy: a new technique of prolapse surgery for obese patients. Arch Gynecol Obstet. 2011;284:631–5.CrossRefPubMed
6.
Zurück zum Zitat Veit-Rubin N, Dubuisson JB, 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;28:1685–93.CrossRefPubMed Veit-Rubin N, Dubuisson JB, 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;28:1685–93.CrossRefPubMed
7.
Zurück zum Zitat Subak LL, Waetjen LE, van den Eeden S, Thom DH, Vittinghoff E, Brown JS. Cost of pelvic organ prolapse surgery in the United States. Obstet Gynecol. 2001;98:646–51.PubMed Subak LL, Waetjen LE, van den Eeden S, Thom DH, Vittinghoff E, Brown JS. Cost of pelvic organ prolapse surgery in the United States. Obstet Gynecol. 2001;98:646–51.PubMed
8.
9.
Zurück zum Zitat Digesu GA, Khullar V, Cardozo L, Robinson D, Salvatore S. P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16(3):176–81.CrossRefPubMed Digesu GA, Khullar V, Cardozo L, Robinson D, Salvatore S. P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16(3):176–81.CrossRefPubMed
10.
Zurück zum Zitat Pauls RN, Silva WA, Rooney CM, Siddighi S, Kleeman SD, Dryfhout V, et al. Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol. 2007;197:622e1–7.CrossRef Pauls RN, Silva WA, Rooney CM, Siddighi S, Kleeman SD, Dryfhout V, et al. Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol. 2007;197:622e1–7.CrossRef
11.
Zurück zum Zitat Handa VL, Zyczynski HM, Brubaker L, Nygaard I, Janz NK, Richter HE, et al. Sexual function before and after sacrocolpopexy for pelvic organ prolapse. Am J Obstet Gynecol. 2007;197:629.e1–6.CrossRef Handa VL, Zyczynski HM, Brubaker L, Nygaard I, Janz NK, Richter HE, et al. Sexual function before and after sacrocolpopexy for pelvic organ prolapse. Am J Obstet Gynecol. 2007;197:629.e1–6.CrossRef
12.
Zurück zum Zitat Azar M, Noohi S, Radfar S, Radfar MH. Sexual function in women after surgery for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:53–7.CrossRefPubMed Azar M, Noohi S, Radfar S, Radfar MH. Sexual function in women after surgery for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:53–7.CrossRefPubMed
13.
Zurück zum Zitat Altman D, Elmer C, Kiilholma P, Kinne I, Tegerstedt G, Falconer C, et al. Sexual dysfunction after trocar-guided transvaginal mesh repair of pelvic organ prolapse. Obstet Gynecol. 2009;113:127–33.CrossRefPubMed Altman D, Elmer C, Kiilholma P, Kinne I, Tegerstedt G, Falconer C, et al. Sexual dysfunction after trocar-guided transvaginal mesh repair of pelvic organ prolapse. Obstet Gynecol. 2009;113:127–33.CrossRefPubMed
14.
Zurück zum Zitat Bump RC, Mattiasson A, Bø K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–7.CrossRefPubMed Bump RC, Mattiasson A, Bø K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–7.CrossRefPubMed
15.
Zurück zum Zitat Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208.CrossRefPubMed Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208.CrossRefPubMed
16.
Zurück zum Zitat Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31:1–20.CrossRefPubMed Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31:1–20.CrossRefPubMed
17.
Zurück zum Zitat Cam C, Sakalli M, Ay P, Aran T, Cam M, Karateke A (2007) Validation of the prolapse quality of life questionnaire (P-QOL) in a Turkish population. Eur J Obstet Gynecol Reprod Biol 135:132-5. Cam C, Sakalli M, Ay P, Aran T, Cam M, Karateke A (2007) Validation of the prolapse quality of life questionnaire (P-QOL) in a Turkish population. Eur J Obstet Gynecol Reprod Biol 135:132-5.
18.
Zurück zum Zitat Toozs-Hobson P, Freeman R, Barber M, Maher C, Haylen B, et al. An international Urogynecological association (IUGA)/ international continence society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse. Neurourol Urodyn. 2012;31:415–21.CrossRefPubMed Toozs-Hobson P, Freeman R, Barber M, Maher C, Haylen B, et al. An international Urogynecological association (IUGA)/ international continence society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse. Neurourol Urodyn. 2012;31:415–21.CrossRefPubMed
19.
Zurück zum Zitat Noé KG, Schiermeier S, Alkatout I, Anapolski M. Laparoscopic pectopexy: a prospective, randomized, comparative clinical trial of standard laparoscopic sacral colpocervicopexy with the new laparoscopic pectopexy-postoperative results and intermediate-term follow-up in a pilot study. J Endourol. 2015;29:210–5.CrossRefPubMedPubMedCentral Noé KG, Schiermeier S, Alkatout I, Anapolski M. Laparoscopic pectopexy: a prospective, randomized, comparative clinical trial of standard laparoscopic sacral colpocervicopexy with the new laparoscopic pectopexy-postoperative results and intermediate-term follow-up in a pilot study. J Endourol. 2015;29:210–5.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Noé KG, Spüntrup C, Anapolski M. Laparoscopic pectopexy: a randomised comparative clinical trial of standard laparoscopic sacral colpo-cervicopexy to the new laparoscopic pectopexy. Short-term postoperative results. Arch Gynecol Obstet. 2013;287(2):275–80.CrossRefPubMed Noé KG, Spüntrup C, Anapolski M. Laparoscopic pectopexy: a randomised comparative clinical trial of standard laparoscopic sacral colpo-cervicopexy to the new laparoscopic pectopexy. Short-term postoperative results. Arch Gynecol Obstet. 2013;287(2):275–80.CrossRefPubMed
21.
Zurück zum Zitat Culligan PJ, Murphy M, Blackwell L, et al. Long-term success of abdominal sacral colpopexy using synthetic mesh. Am J Obstet Gynecol. 2002;187:1473–82.CrossRefPubMed Culligan PJ, Murphy M, Blackwell L, et al. Long-term success of abdominal sacral colpopexy using synthetic mesh. Am J Obstet Gynecol. 2002;187:1473–82.CrossRefPubMed
22.
Zurück zum Zitat Sarlos D, Brandner S, Kots L, Gygax N, Schaer G. Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical results, quality of life and perioperative outcome-a prospective study with 101 cases. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1415–22.CrossRefPubMed Sarlos D, Brandner S, Kots L, Gygax N, Schaer G. Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical results, quality of life and perioperative outcome-a prospective study with 101 cases. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1415–22.CrossRefPubMed
23.
Zurück zum Zitat Bojahr B, Tchartchian G, Waldschmidt M, Schollmeyer T, De Wilde RL. Laparoscopic sacropexy: a retrospective analysis of perioperative complications and anatomical outcomes. JSLS. 2012;16:428–36.CrossRefPubMedPubMedCentral Bojahr B, Tchartchian G, Waldschmidt M, Schollmeyer T, De Wilde RL. Laparoscopic sacropexy: a retrospective analysis of perioperative complications and anatomical outcomes. JSLS. 2012;16:428–36.CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Helström L, Nilsson B. Impact of vaginal surgery on sexuality and quality of life in women with urinary incontinence or genital descensus. Acta Obstet Gynecol Scand. 2005;84:79–84.CrossRefPubMed Helström L, Nilsson B. Impact of vaginal surgery on sexuality and quality of life in women with urinary incontinence or genital descensus. Acta Obstet Gynecol Scand. 2005;84:79–84.CrossRefPubMed
26.
Zurück zum Zitat Liang CC, Lin YH, Chang YL, Chang SD. Urodynamic and clinical effects of transvaginal mesh repair for severe cystocele with and without urinary incontinence. Int J Gynaecol Obstet. 2011;112:182–6.CrossRefPubMed Liang CC, Lin YH, Chang YL, Chang SD. Urodynamic and clinical effects of transvaginal mesh repair for severe cystocele with and without urinary incontinence. Int J Gynaecol Obstet. 2011;112:182–6.CrossRefPubMed
27.
Zurück zum Zitat Yeniel AÖ, Ergenoglu AM, Askar N, Itil İM, Meseri R. Quality of life scores improve in women undergoing colpocleisis: a pilot study. Eur J Obstet Gynecol Reprod Biol. 2012;163:230–3.CrossRefPubMed Yeniel AÖ, Ergenoglu AM, Askar N, Itil İM, Meseri R. Quality of life scores improve in women undergoing colpocleisis: a pilot study. Eur J Obstet Gynecol Reprod Biol. 2012;163:230–3.CrossRefPubMed
28.
29.
Zurück zum Zitat Grimminck K, Mourik SL, Tjin-Asjoe F, Martens J, Aktas M. Long-term follow-up and quality of life after robot assisted sacrohysteropexy. Eur J Obstet Gynecol Reprod Biol. 2016;206:27–31.CrossRefPubMed Grimminck K, Mourik SL, Tjin-Asjoe F, Martens J, Aktas M. Long-term follow-up and quality of life after robot assisted sacrohysteropexy. Eur J Obstet Gynecol Reprod Biol. 2016;206:27–31.CrossRefPubMed
30.
Zurück zum Zitat Jha S, Gopinath D. Prolapse or incontinence: what effects sexual function the most? Int Urogynecol J. 2016;27:607–11.CrossRefPubMed Jha S, Gopinath D. Prolapse or incontinence: what effects sexual function the most? Int Urogynecol J. 2016;27:607–11.CrossRefPubMed
31.
Zurück zum Zitat Li-Yun-Fong RJ, Larouche M, Hyakutake M, Koenig N, Lovatt C, Geoffrion R, et al. Is pelvic floor dysfunction an independent threat to sexual function? A cross-sectional studying women with pelvic floor dysfunction. J Sex Med. 2017;14:226–37.CrossRefPubMed Li-Yun-Fong RJ, Larouche M, Hyakutake M, Koenig N, Lovatt C, Geoffrion R, et al. Is pelvic floor dysfunction an independent threat to sexual function? A cross-sectional studying women with pelvic floor dysfunction. J Sex Med. 2017;14:226–37.CrossRefPubMed
32.
Zurück zum Zitat Lukacz ES, Warren LK, Richter HE, Brubaker L, Barber MD, Norton P, et al. Quality of life and sexual function 2 years after vaginal surgery for Prolapse. Obstet Gynecol. 2016;127:1071–9.CrossRefPubMedPubMedCentral Lukacz ES, Warren LK, Richter HE, Brubaker L, Barber MD, Norton P, et al. Quality of life and sexual function 2 years after vaginal surgery for Prolapse. Obstet Gynecol. 2016;127:1071–9.CrossRefPubMedPubMedCentral
33.
Zurück zum Zitat Thompson JC, Rogers RG. Surgical Management for Pelvic Organ Prolapse and its Impact on sexual function. Sex Med Rev. 2016;4:213–20.CrossRefPubMed Thompson JC, Rogers RG. Surgical Management for Pelvic Organ Prolapse and its Impact on sexual function. Sex Med Rev. 2016;4:213–20.CrossRefPubMed
34.
Zurück zum Zitat Barber MD, Brubaker L, Nygaard I, Wheeler TL 2nd, Schaffer J, Chen Z, et al. Defining success after surgery for pelvic organ Prolapse. Obstet Gynecol. 2009;114:600–9.CrossRefPubMedPubMedCentral Barber MD, Brubaker L, Nygaard I, Wheeler TL 2nd, Schaffer J, Chen Z, et al. Defining success after surgery for pelvic organ Prolapse. Obstet Gynecol. 2009;114:600–9.CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat Kelly M, Macdougall K, Olabisi O, McGuire N. In vivo response to polypropylene following implantation in animal models: a review of biocompatibility. Int Urogynecol J. 2017;28:171–80.CrossRefPubMed Kelly M, Macdougall K, Olabisi O, McGuire N. In vivo response to polypropylene following implantation in animal models: a review of biocompatibility. Int Urogynecol J. 2017;28:171–80.CrossRefPubMed
36.
Zurück zum Zitat Donati M, Brancato G, Grosso G, Li Volti G, La Camera G, Cardì F, et al. Immunological reaction and oxidative stress after light or heavy polypropylene mesh implantation in inguinal hernioplasty : a CONSORT-prospective, randomized, clinical trial. Medicine (Baltimore). 2016;95(24):e3791.CrossRef Donati M, Brancato G, Grosso G, Li Volti G, La Camera G, Cardì F, et al. Immunological reaction and oxidative stress after light or heavy polypropylene mesh implantation in inguinal hernioplasty : a CONSORT-prospective, randomized, clinical trial. Medicine (Baltimore). 2016;95(24):e3791.CrossRef
Metadaten
Titel
Modified laparoscopic pectopexy: short-term follow-up and its effects on sexual function and quality of life
verfasst von
Ali Emre Tahaoglu
Mehmet Sait Bakir
Nurullah Peker
İhsan Bagli
Ahter Tanay Tayyar
Publikationsdatum
02.03.2018
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 8/2018
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-018-3565-y

Weitere Artikel der Ausgabe 8/2018

International Urogynecology Journal 8/2018 Zur Ausgabe

Hirsutismus bei PCOS: Laser- und Lichttherapien helfen

26.04.2024 Hirsutismus Nachrichten

Laser- und Lichtbehandlungen können bei Frauen mit polyzystischem Ovarialsyndrom (PCOS) den übermäßigen Haarwuchs verringern und das Wohlbefinden verbessern – bei alleiniger Anwendung oder in Kombination mit Medikamenten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

22.04.2024 DGIM 2024 Kongressbericht

Durch die Häufung nach der COVID-19-Pandemie sind Infektionen mit dem Respiratorischen Synzytial-Virus (RSV) in den Fokus gerückt. Fachgesellschaften empfehlen eine Impfung inzwischen nicht nur für Säuglinge und Kleinkinder.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.