Three-Year Outcomes of a Multicenter Study of Japanese-Style Laparoscopic Sacrocolpopexy

Overview

Journal Int Urogynecol J

Publisher Springer

Specialties Gynecology & Obstetrics
Urology

Date 2024 Oct 29

PMID 39470780

Authors

Tomoko Kuwata

Hiromi Kashihara

Chikako Kato

Masami Takeyama

Akane Yamaguchi

Youji Moriyama

Chie Nakai

Kosei Miwa

Hidemori Araki

Masahiro Narushima

Mari Yamasaki

Hiromi Hirama

Homare Okazoe

Affiliations

Soon will be listed here.

Abstract

Introduction And Hypothesis: Laparoscopic sacrocolpopexy(LSC) is widely performed and has been reported to safe and effective. However, statistical data on this technique are unavailable. Therefore, we designed the Japanese-style LSC, a further evolution of the French-style LSC, and initiated this multicenter study to prospectively evaluate its efficacy and safety. If the Japanese-style LSC is successful, we may be able to propose a more reliable and standardized procedure.

Methods: This is a prospective study of Japanese-style LSC. The Japanese-style LSC is characterized by the dissection of the vaginal walls as distally as possible and fixation of the mesh with multiple sutures; fixation of the mesh on the promontory without traction; and closure of the peritoneum with high-level peritoneal sutures. We examined the primary (anatomical recurrence, adverse events, and quality of life) and secondary endpoints (voiding symptoms and sexual function) at 3 years postoperatively.

Results: In anatomical recurrence, 24 patients (9.2%) were ≥ stage2 in the Pelvic Organ Prolapse Quantification system at 3 years postoperatively, of which 4 (1.5%) and 20 (7.7%) were stages III and II respectively. No mesh-related complications were observed, and each questionnaire showed predominant improvement, except for sexual and evacuation functions.

Conclusions: The Japanese-style LSC demonstrated superior anatomical and functional results and we propose it to be an effective procedure.

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