Comparison between laparoscopic sacrocolpopexy with hysterectomy and hysteropexy in advanced urogenital prolapse
Abstract
Introduction and hypothesis The aim of this study was to compare the outcomes in women who underwent laparoscopic sacrocolpopexy (LSC) with or without hysterectomy for pelvic organ prolapse (POP).Methods This was a single-centre prospective study. We included women with symptomatic POP (III-IV stage) who underwent LSC with or without hysterectomy. The preoperative evaluation included a history, clinical examination and urodynamic test; all patients completed FSFI, UDI-6 and IIQ-7 questionnaires. They were followed up at 1, 3, 6 and 12 months after surgery and then annually thereafter with the same preoperative flow chart. At the last visit, they also completed the PGI-I questionnaire.Results Between 2012 and 2016, a total of 136 patients with POP were included (82 in the LSC with hysterectomy group and 54 in the hysteropexy group). At a median follow-up of 65.3 months (36-84 months), there were improvements in the anatomical and functional outcomes of both groups without differences between the two approaches. The apical success rate was 100% in all women, without recurrence in either group; the anterior and posterior success rates of hysterectomy were higher than those of uterine preservation.Conclusion This study showed that there were no differences in the anatomical and functional outcomes between LSC with or without hysterectomy for POP.
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Illiano et al. found that the mesh exposure rate was higher in the hysterectomy group than in the uterine preservation group (6/82, 7.3% vs 2/54, 3.7%).
“Illiano et al. compared the outcomes in women who underwent LSC with or without hysterectomy with a median follow-up of 65.3 months, and they found that the anterior and posterior success rates of the hysterectomy group were higher than those of the uterine preservation group and that the mesh exposure rate was higher in the hysterectomy group (6 out of 82, 7.3% vs 2 out of 54, 3.7%) [19].”
From Mesh Exposure After Laparoscopic Sacrocolpopexy with Concomitant Total Hysterectomy or Uterine Preservation: A Retrospective Cohort Study (2026) · cites this paper as [19]
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Additional file 3 of Pelvic organ prolapse and uterine preservation: a cohort study (POP-UP study)
Gagyor, D., Kališ, V., Smažinka, M., Rušavý, Z., Pilka, R., & Ismail, K. M. (2021) · Figshare · doi:10.6084/m9.figshare.14052567
Additional file 2 of Pelvic organ prolapse and uterine preservation: a cohort study (POP-UP study)
Gagyor, D., Kališ, V., Smažinka, M., Rušavý, Z., Pilka, R., & Ismail, K. M. (2021) · Figshare · doi:10.6084/m9.figshare.14052564
Additional file 4 of Pelvic organ prolapse and uterine preservation: a cohort study (POP-UP study)
Gagyor, D., Kališ, V., Smažinka, M., Rušavý, Z., Pilka, R., & Ismail, K. M. (2021) · Figshare · doi:10.6084/m9.figshare.14052570
Additional file 1 of Pelvic organ prolapse and uterine preservation: a cohort study (POP-UP study)
Gagyor, D., Kališ, V., Smažinka, M., Rušavý, Z., Pilka, R., & Ismail, K. M. (2021) · Figshare · doi:10.6084/m9.figshare.14052561
Urdzík, P., Kališ, V., Blaganje, M., Rusavy, Z., Smažinka, M., Havir, M., Dudič, R., & Ismail, K. M. (2020) · Figshare · doi:10.6084/m9.figshare.13153027
- Authors
- Illiano, E., Giannitsas, K., & Costantini, E.
- Affiliations
- University of Perugia (IT)
- General University Hospital of Patras (GR)
- Corresponding author
- Illiano, Ester
- Venue
- International Urogynecology Journal
- Published
- 2020-03-05
- Volume
- 31
- Issue
- 10
- Pages
- 2069-2074
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W3010459924
- Cited by
- 36
- References
- 28
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 11 · 2023: 5 · 2022: 6 · 2021: 6 · 2020: 4
- FWCI
- 3.95
- Type
- journal article
- Language
- en
- Open access
- closed
- 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 › Ureteral procedures and complications
- Keywords
- laparoscopic sacrocolpopexy, hysterectomy, hysteropexy, pelvic organ prolapse, uterine preservation, functional outcome, anatomical outcomes, sexual function, quality of life
- MeSH terms
- Female, Humans, Hysterectomy, Laparoscopy, Prospective Studies, Gynecologic Surgical Procedures, Treatment Outcome, Pelvic Organ Prolapse
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