Laparoscopic sacral hysteropexy versus laparoscopic sacral colpopexy plus supracervical hysterectomy in patients with pelvic organ prolapse
Abstract
Introduction and hypothesis The choice of whether or not to preserve the uterus in the case of patients with urogenital prolapse who undergo sacral colpopexy is still debated. We compared objective and subjective outcomes of laparoscopic sacral hysteropexy (LSHP) and laparoscopic sacral colpopexy with concomitant supracervical hysterectomy (LSCP/SCH) in patients with symptomatic pelvic organ prolapse.Methods This is a multicenter retrospective cohort study conducted at the Urogynecology Department of the Fondazione Policlinico Universitario A. Gemelli IRCCS of Rome and at the Diaconesses Croix Saint Simon Hospital of Paris. We collected data of 136 patients; 78 underwent LSHP and 58 underwent LSCP/SCH for pelvic organ prolapse between January 2016 and December 2017.Results Patients of the two groups had similar preoperative characteristics. All patients completed 24-month follow-up evaluation. Overall, anatomical cure rate was 84.6% and 87.9% in the LSHP group and LSCP/SCH group, respectively, without statistically significant differences. In particular, in the LSHP group the anatomical success rate was 94.9%, 92.3% and 92.3% for the apical, anterior and posterior vaginal compartment whereas in the LSHP group LSCP/SCH was 100%, 91.4% and 94.8%, respectively. Subjective success rate was 89.7% among patients who underwent LSHP and 93.1% among women who underwent LSCP/SCH (p = 0.494). The median operative time (OT) was significantly shorter in LSHP. There were no significant differences between the groups in terms of estimated blood loss, conversion to laparotomy and intra- and postoperative complications. Patients' satisfaction was high in both groups without statistical differences.Conclusions Both laparoscopic procedures are safe and effective in the treatment of pelvic organ prolapse. LSHP can be offered as an alternative in women who are strongly motivated to preserve the uterus in the absence of abnormal uterine findings.
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There are limited data regarding differences in postoperative recurrence after SHP and SCH/SCP for patients with advanced POP.
“Furthermore, there are limited data regarding differences in postoperative recurrence after SHP and SCH/SCP for patients with advanced POP.”
From Composite Failure Associated With Sacrohysteropexy and Sacrocolpopexy With Supracervical Hysterectomy for Advanced Pelvic Organ Prolapse (2025) · cites this paper as [8]
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 [8]
A comprehensive analysis of whether the uterus should be preserved or partially removed has not been reported, and the available data are limited.
“A comprehensive analysis of whether the uterus should be preserved or partially removed has not been reported, and the available data are limited [6, 8].”
From Composite Failure Associated With Sacrohysteropexy and Sacrocolpopexy With Supracervical Hysterectomy for Advanced Pelvic Organ Prolapse (2025) · cites this paper as [8]
In a previous multicenter, retrospective cohort study, the SF rates at 1 year were 3.5% with SCH/SCP and 9.0% with SHP (no significant difference).
“During a previous multicenter, retrospective cohort study, the SF rates at 1 year were 3.5% with SCH/SCP and 9.0% with SHP (no significant difference) [8].”
From Composite Failure Associated With Sacrohysteropexy and Sacrocolpopexy With Supracervical Hysterectomy for Advanced Pelvic Organ Prolapse (2025) · cites this paper as [8]
Previous studies of the PFDI-20 did not identify significant differences between groups.
“Similar findings were reported by previous studies [6, 8] of the PFDI‐20 that did not identify significant differences between groups.”
From Composite Failure Associated With Sacrohysteropexy and Sacrocolpopexy With Supracervical Hysterectomy for Advanced Pelvic Organ Prolapse (2025) · cites this paper as [8]
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- Authors
- Campagna, G., Vacca, L., Panico, G., Rumolo, V., Caramazza, D., Lombisani, A., Rossitto, C., Gadonneix, P., Scambia, G., & Ercoli, A.
- Affiliations
- Agostino Gemelli University Polyclinic (IT)
- Università Cattolica del Sacro Cuore (IT)
- University of Messina (IT)
- Corresponding author
- Panico, Giovanni
- ORCID
- Venue
- International Urogynecology Journal
- Published
- 2021-06-16
- Volume
- 33
- Issue
- 2
- Pages
- 359-368
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W3169651247
- Cited by
- 31
- References
- 29
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 9 · 2023: 10 · 2022: 7 · 2021: 1
- FWCI
- 5.07
- 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 › Gynecological conditions and treatments
- Keywords
- laparoscopic sacral colpopexy, subtotal hysterectomy, pelvic organ prolapse, uterine preservation, operative time, patient satisfaction
- MeSH terms
- Female, Humans, Hysterectomy, Laparoscopy, Retrospective Studies, Gynecologic Surgical Procedures, Uterus, Treatment Outcome, Pelvic Organ Prolapse
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