Laparoscopic Pectopexy and Vaginal Sacrospinous Fixation Clinical Trial
Official title:
Intermediate-term Outcomes of Laparoscopic Pectopexy and Vaginal Sacrospinous Fixation: A Comparative Study
Forty-three women who had vaginal sacrospinous fixations using Dr. Aksakal's Desta suture carrier and 36 women who had laparoscopic pectopexies between January 2014 and June 2018 at H.S.U Kocaeli Derince Training and Research Hospital Gynecology and Obstetrics clinic were re-examined between 15 June and 30 December 2018 gynecologically.
Forty-three women who had vaginal sacrospinous fixations using Dr. Aksakal's Desta suture
carrier and 36 women who had laparoscopic pectocolpopexies were re-examined 7 to 43 months
after surgery. All of the women had undergone surgery for stage 2 or greater uterovaginal or
vaginal vault prolapse according to the Pelvic Organ Prolapse Quantification (POP-Q) system.
All of the patients received telephone calls and were invited for a gynecological
re-examination. All but one patient in the vaginal surgery group came in for a gynecological
control. We conducted a phone interview with the one patient not agreeing to come to the
control, and we learned that she had a relapse 6 months after the operation. She underwent
another prolapse surgery at a different hospital. She described her postsurgical complaints,
and we noted that she was unsatisfied with the surgery. In the postoperative re-evaluation
between 15 June and 30 December 2018, all of the women were examined in the lithotomy
position for apical, anterior, and posterior compartment descensus. Stage 2 or greater apical
descensus or a cystocele or rectocele according to the POP-Q system were accepted as
postoperative relapses. All of the patients answered the Pelvic Organ Prolapse/Urinary
Incontinence Sexual Questionnaire (PISQ-12) and Prolapse Quality of Life (P-QOL)
questionnaire. All of the women were asked about de novo urge urinary incontinence and de
novo stress urinary incontinence. In addition, each patient's satisfaction with the surgery
was asked and recorded.
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