Baskent University Medical School Izmir Zubeyde Hanım Teaching Hospital, Turkey.
Baskent University Medical School Adana Dr. Turgut Noyan Teaching Hospital, Turkey.
J Gynecol Obstet Hum Reprod. 2020 Sep;49(7):101795. doi: 10.1016/j.jogoh.2020.101795. Epub 2020 May 28.
To evaluate the postoperative anatomic and functional outcomes of patients who underwent laparoscopic nerve-sparing sacrocolpopexy or sacrocervicopexy for pelvic organ prolapse (POP) POP-Q stage III and IV apical prolapse, and to delineate the contributing factors for recurrence.
The file records of patients who underwent sacropexy in the last five years were reviewed retrospectively and compared in terms of preoperative and postoperative anatomic findings and symptoms.
Patients who underwent laparoscopic nerve-sparing surgery for treatment of POP-Q Stage III and IV/prolapse of uterine or vaginal cuff were included.
Postoperative anatomic and functional outcomes were evaluated using POP-Q classification and urinary/anal function by questioning during visits.
The mean follow-up duration was 24.2 ± 17.6 months. Anatomic recovery was achieved in 104 (90.4 %) cases. Advanced age (≥70 years), longer duration of symptoms, and low body mass index were determined as parameters related to recurrence risk.
评估接受腹腔镜下神经保留骶骨阴道固定术或骶骨宫颈固定术治疗盆腔器官脱垂（POP）POP-Q 分期 III 期和 IV 期顶端脱垂患者的术后解剖和功能结果，并明确复发的相关因素。
回顾性分析了过去五年间接受骶骨固定术的患者的档案记录，并比较了术前和术后的解剖学发现和症状。
纳入接受腹腔镜下神经保留手术治疗 POP-Q 分期 III 期和 IV 期/子宫或阴道袖套脱垂的患者。
采用 POP-Q 分类评估术后解剖和功能结果，并在就诊时通过询问评估尿/肛门功能。
平均随访时间为 24.2 ± 17.6 个月。104 例（90.4%）患者达到解剖学恢复。高龄（≥70 岁）、更长的症状持续时间和较低的体重指数被确定为与复发风险相关的参数。
