Sacrocolpopexy after sub‐total hysterectomy vs. sacral hysteropexy for advanced urogenital prolapse: A propensity‐matched study
Open accessAbstract
Objective: To compare objective and subjective outcomes of laparoscopic sacral colpopexy with supracervical hysterectomy (L‐SCP) and robotic sacral hysteropexy (R‐SHP). Methods: This is a multicenter retrospective propensity score matched study. In the period between January 2014 and December 2018, we enrolled 161 patients with apical prolapse stage 2 or above, alone or with multicompartment descensus. Results: After propensity‐match analysis, there were 44 women for each group. Patients of the two groups had similar preoperative characteristics. No difference was found in terms of estimated blood loss, hospital stay, operative time, and intraoperative or postoperative complications. Subjective success rate, 12 months after surgery, was statistically better in the L‐SCP group (P = 0.034): 81.8% and 97.8% women had Patient Global Impression of Improvement scores less than 3, in R‐SHP and L‐SCP, respectively. The objective cure rate was high in both groups without any significant differences in recurrence rate (P = 0.266). Conclusion: Both procedures are safe and effective in pelvic organ prolapse treatment. Patients who no longer desire uterine preservation could be encouraged to consider L‐SCP. R‐SHP is an alternative in women who are strongly motivated to preserve their uterus in the absence of abnormal uterine findings.
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Some studies have reported no significant differences in anatomical and subjective outcomes at 1 year after laparoscopic SHP and laparoscopic SCH/SCP.
“Some studies have reported no significant differences in the anatomical and subjective outcomes at 1 year after laparoscopic sacrohysteropexy (SHP) and laparoscopic supracervical hysterectomy (SCH)/laparoscopic SCP [8, 9].”
From Composite Failure Associated With Sacrohysteropexy and Sacrocolpopexy With Supracervical Hysterectomy for Advanced Pelvic Organ Prolapse (2025) · cites this paper as [9]
The discussion reports no statistically significant difference in anatomical outcomes between the groups. But the Results and Table 3 report significantly better subjective satisfaction at 12 months in the sacrocolpopexy group (P = 0.034). The study also compares laparoscopic sacrocolpopexy with robotic, not laparoscopic, sacrohysteropexy. (LLM, conf=0.91)
Experimental — accuracy not yet measuredIn a recent multicenter, retrospective cohort study using propensity score matching, the SF rates at 1 year were 2.2% with SCH/SCP and 18.2% with SHP (significant difference).
“However, a recent multicenter, retrospective cohort study that used propensity score matching revealed that the SF rates at 1 year were 2.2% with SCH/SCP and 18.2% with SHP (significant difference) [9].”
From Composite Failure Associated With Sacrohysteropexy and Sacrocolpopexy With Supracervical Hysterectomy for Advanced Pelvic Organ Prolapse (2025) · cites this paper as [9]
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- Authors
- Arcieri, M., Morlacco, A., Montebelli, F., Mancini, M., Soligo, M., Restaino, S., Driul, L., Campagna, G., Panico, G., Ercoli, A., Scambia, G., Dal Moro, F., & Vizzielli, G.
- Affiliations
- University of Messina (IT)
- University of Padua (IT)
- University of Udine (IT)
- Agostino Gemelli University Polyclinic (IT)
- Università Cattolica del Sacro Cuore (IT)
- Urology Clinic, Department of Surgical, Oncological and Gastroenterological Sciences Padova University Padova Italy
- Corresponding author
- Arcieri, Martina
- ORCID
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2023-06-29
- Volume
- 163
- Issue
- 3
- Pages
- 847-853
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W4382501301
- Cited by
- 11
- References
- 28
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 3 · 2023: 1
- FWCI
- 2.31
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Institutional Research Information System (University of Udine) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- sacrocolpopexy, subtotal hysterectomy, urogenital prolapse, apical pelvic organ prolapse, uterine preservation, prolapse recurrence, surgical outcomes, Patient Global Impression of Improvement
- MeSH terms
- Female, Humans, Hysterectomy, Male, Laparoscopy, Retrospective Studies, Gynecologic Surgical Procedures, Uterus, Treatment Outcome, Pelvic Organ Prolapse
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