Laparoscopic sacral hysteropexy versus laparoscopic sacrocolpopexy with hysterectomy for pelvic organ prolapse
Abstract
Introduction and hypothesis Treating pelvic organ prolapse (POP) with uterine conservation and sacral hysteropexy has uncertain subjective and objective outcomes. We sought to compare laparoscopic sacral hysteropexy with laparoscopic sacrocolpopexy/total laparoscopic hysterectomy (TLH with LSC).Methods Clinical data of 34 patients who underwent TLH with LSC and 65 patients who underwent laparoscopic sacral hysteropexy performed by the same group of surgeons between January 2008 and December 2013 were reviewed retrospectively. The primary outcome was subjective satisfaction rate based upon validated questionnaire (Patient Global Impression of Change [PGI-C]). Secondary outcomes were: anatomical cure, impact on quality of life based upon validated questionnaires (pelvic floor distress inventory-short form 20 [PFDI-20], Pelvic Floor Impact Questionnaire 7 [PFIQ-7], and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 [PISQ-12]), surgical complications, and cost.Results After a mean follow-up of 33 months, the subjective satisfaction rate was significantly higher in the TLH with LSC cohort (92.3% vs 100%; p < 0.001). The POP-Q scores in both groups were significantly improved postoperatively. However, the anatomical cure in the two groups (72.3% vs 88.2%; p = 0.07) did not differ significantly The postoperative PFIQ-7 and PFDI-20 scores were significantly better in the TLH with LSC cohort than in the laparoscopic sacral hysteropexy cohort (p = 0.043 and p = 0.035 respectively).Conclusions Relative to laparoscopic sacral hysteropexy, the TLH with LSC approach provides similar anatomical results, excellent patient satisfaction, and improved quality of life scores.
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These findings contrast with previous observational studies that reported higher mesh exposure rates when total hysterectomy or vaginal mesh procedures were included.
“These findings contrast with previous observational studies that reported higher mesh exposure rates when total hysterectomy or vaginal mesh procedures were included [15–24, 29].”
From Perioperative complications of laparoscopic sacrohysteropexy versus sacrocolpopexy with subtotal hysterectomy for pelvic organ prolapse (2026) · cites this paper as [15]
Pan et al. found no mesh exposure cases in either group after a mean follow-up duration of 33 months.
“They found no mesh exposure cases in the two groups after a mean follow-up duration of 33 months, and the subjective satisfaction rate was higher in the hysterectomy group [20].”
From Mesh Exposure After Laparoscopic Sacrocolpopexy with Concomitant Total Hysterectomy or Uterine Preservation: A Retrospective Cohort Study (2026) · cites this paper as [20]
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“They found no mesh exposure cases in the two groups after a mean follow-up duration of 33 months, and the subjective satisfaction rate was higher in the hysterectomy group [20].”
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“These findings contrast with previous observational studies that reported higher mesh exposure rates when total hysterectomy or vaginal mesh procedures were included [15–24 , 29].”
- Authors
- Pan, K., Cao, L., Ryan, N. A., Wang, Y., & Xu, H.
- Affiliations
- Army Medical University (CN)
- Baylor College of Medicine (US)
- Corresponding author
- Xu, Huicheng
- Venue
- International Urogynecology Journal
- Published
- 2015-07-16
- Volume
- 27
- Issue
- 1
- Pages
- 93-101
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W2129597535
- Cited by
- 74
- References
- 27
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 9 · 2023: 4 · 2022: 6 · 2021: 11 · 2020: 10 · 2019: 7 · 2018: 3 · 2017: 7 · 2016: 5 · 2015: 1
- FWCI
- 4.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- 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
- pelvic organ prolapse, sacrocolpopexy, total laparoscopic hysterectomy, uterine conservation, patient satisfaction, quality of life, POP-Q score, surgical complications, cost, PFDI-20, PFIQ-7, PISQ-12
- MeSH terms
- Adult, Female, Humans, Hysterectomy, Middle Aged, Laparoscopy, Surveys and Questionnaires, Retrospective Studies, Sacrum, Gynecologic Surgical Procedures, Uterus, Vagina, Treatment Outcome, Pelvic Organ Prolapse
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