Grand Journal of Urology
E-ISSN : 2757-7163

Our Minimally Invasive Sacrocolpopexy Experiences in Pelvic Organ Prolapse Treatment
Kamil Gokhan Seker1, Emre Sam2, Yusuf Arikan3, Ahmet Haciislamoglu3, Abdulmuttalip Simsek4, Volkan Tugcu5
1Department of Urology, Mus State Hospital, Mus, Turkey
2Department of Urology, University of Health Sciences, Regional Training and Research Hospital, Erzurum, Turkey
3Department of Urology, University of Health Sciences, Dr. Said Konuk Training and Research Hospital, Istanbul, Turkey
4Department of Urology, University of Health Sciences, Basaksehir Cam ve Sakura City Hospital, Istanbul, Turkey
5Department of Urology, Memorial Bahcelievler Hospital, Istanbul, Turkey
DOI : 10.5222/GJU.2021.03511
Pages : 083-088
Objective: We aimed to evaluate the results of our minimally invasive (laparoscopic and robotic) sacrocolpopexy operations in patients with pelvic organ prolapse (POP).

Materials and Methods: Demographic characteristics, intraoperative and postoperative data of 15 patients for whom we applied laparoscopic or robotic sacrocolpopexy due to symptomatic Grade 2 or higher apical POP based on POP-Q classification between September 2014 and September 2018. Treatment success was defined as Grade 0 or 1 POP in POP examination in the final surveillance.

Results: Mean age of the patients was 60.4 ± 8.3 (49-82) years. Four patients (26.7%) were operated using robotic and eleven patients (73.3%) using laparoscopic methods. Uterus conservative surgery was applied in all patients excluding one. Mean operative time was 183.3 ± 21.4 (145-220) minutes and mean hospital stay of the patients was 2.8 ± 0.7 (2-4) days. Intraoperative and postoperative complications developed in a total of two patients (13.3%). Mean duration of follow-up was calculated as 12.1 ± 4.8 (8-24) months. De novo urgency urinary incontinence developed in two patients and stress incontinence in one patient. Based on the physical examination in the follow-ups, 14 patients (93.3%) had Grade 0 and one patient had (6.7%) asymptomatic Grade 2 anterior POP.

Conclusion: Minimally invasive sacrocolpopexy is an efficient and safe surgical option for prolapse repair in symptomatic advanced stage POP cases.

Keywords : pelvic organ prolapse, minimally invasive surgery, sacrocolpopexy, laparoscopy, robotic surgery
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