Department of Urology, Hotel Dieu de France hospital, Beirut, Lebanon.
Department of Gynecology and Obstetrics, Hotel Dieu de France hospital, Beirut, Lebanon.
Int Urogynecol J. 2023 Jun;34(6):1279-1283. doi: 10.1007/s00192-022-05430-z. Epub 2022 Dec 28.
Pelvic organ prolapse (POP) is a benign condition that can adversely affect women's quality of life. Minimally invasive mesh sacrocolpopexy is an effective surgical treatment for POP. This study aims to assess the perioperative, postoperative, and long term (10 years) outcome of a single institution cohort undergoing minimally invasive sacrocolpopexy.
This retrospective study included all cases of laparoscopic sacrocolpopexy performed between 2003 and 2016. Patients were contacted by phone in 2022 for long term follow-up. Data on operative time, length of hospital stay, conversion rate, perioperative injuries, early and late postoperative complications and subjective success rates were collected.
Ninety-five patients were included aged 60±12 years. Most patients (72%) presented grade 3 POP. Grade of prolapse (3±0.4 vs 3±0.5, p<0.01) and hospital stay (3±1.1 vs 3.1±1.7; p<0.01) were significantly higher in patients who developed early postoperative complications (1 year). At long term follow-up (12±3 years), 48 patients responded. Nine subjects (19%) presented a subjective recurrence with bulge symptoms. Surgery satisfaction was of 79%. The most frequent de novo reported symptom was urge urinary incontinence followed by stress urinary incontinence. Three cases (3%) of mesh erosion were described, all occurred after the 5th postoperative year.
Laparoscopic mesh sacrocolpopexy is a safe surgical technique that shows satisfying and consistent long-term results despite the occasional onset of new urinary symptoms.
盆腔器官脱垂（POP）是一种良性疾病，会对女性的生活质量产生不利影响。微创网片骶骨阴道固定术是治疗 POP 的有效手术方法。本研究旨在评估单中心队列接受微创骶骨阴道固定术的围手术期、术后和长期（10 年）结果。
本回顾性研究纳入了 2003 年至 2016 年间行腹腔镜骶骨阴道固定术的所有病例。2022 年通过电话联系患者进行长期随访。收集手术时间、住院时间、转化率、围手术期损伤、早期和晚期术后并发症以及主观成功率的数据。
95 例患者年龄 60±12 岁。大多数患者（72%）表现为 3 级 POP。早期（1 年）发生术后并发症的患者，脱垂程度（3±0.4 比 3±0.5，p<0.01）和住院时间（3±1.1 比 3.1±1.7；p<0.01）显著更高。在长期随访（12±3 年）时，48 例患者做出了回应。9 例患者（19%）出现主观复发和膨出症状。手术满意度为 79%。最常见的新发报告症状是急迫性尿失禁，其次是压力性尿失禁。描述了 3 例（3%）网片侵蚀病例，均发生在术后第 5 年以后。
腹腔镜网片骶骨阴道固定术是一种安全的手术技术，尽管偶尔会出现新的尿失禁症状，但长期效果令人满意且一致。
