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Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fi xation: a comparative study.
Int Braz J Urol. 2019 Sep-Oct; 45(5):999-1007.IB

Abstract

OBJECTIVE

To compare the intermediate-term follow-up results of laparoscopic pectopexy and vaginal sacrospinous fi xation procedures.

MATERIALS AND METHODS

Forty-three women who had vaginal sacrospinous fixations (SSF) using Dr. Aksakal's Desta suture carrier and 36 women who had laparoscopic pectopexies were re-examined 7 to 43 months after surgery. The PISQ-12 and P-QOL questionnaires were answered by all of the women.

RESULTS

The apical descensus relapse rates did not differ between the groups (14% in the SSF vs. 11.1% in the pectopexy group). The de novo cystocele rates were higher in the SSF group (25.6% in the SSF vs. 8.3% in the pectopexy group). There were no significant differences in the de novo rectocele numbers between the groups. The treatment satisfaction rates were high in both groups (93% in the SSF vs. 91.7% in the pectopexy group), which was not statistically significant. Moreover, the postoperative de novo urge and stress urinary incontinence rates did not differ; however, the postoperative sexual function scores (PISQ-12) (36.86±3.15 in the SSF group vs. 38.21±5.69 in the pectopexy group) were better in the pectopexy group. The general P-QOL scores were not signifi cantly different between the surgery groups.

CONCLUSION

The vaginal sacrospinous fixation maintains its value in prolapse surgery with the increasing importance of native tissue repair. The new laparoscopic pectopexy technique has comparable positive follow-up results with the conventional sacrospinous fixation procedure.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.Department of Obstetrics and Gynecology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.Department of Obstetrics and Gynecology, Inönü University Medicine Faculty, Malatya, Turkey.Urogynecology Clinics, Zekai Tahir Burak Training and Research Hospital, Ankara, Turkey.Department of Obstetrics and Gynecology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.Department of Obstetrics and Gynecology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.

Pub Type(s)

Comparative Study
Journal Article
Observational Study

Language

eng

PubMed ID

31408288

Citation

Astepe, Bahar Sariibrahim, et al. "Intermediate-term Outcomes of Laparoscopic Pectopexy and Vaginal Sacrospinous Fi Xation: a Comparative Study." International Braz J Urol : Official Journal of the Brazilian Society of Urology, vol. 45, no. 5, 2019, pp. 999-1007.
Astepe BS, Karsli A, Köleli I, et al. Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fi xation: a comparative study. Int Braz J Urol. 2019;45(5):999-1007.
Astepe, B. S., Karsli, A., Köleli, I., Aksakal, O. S., Terzi, H., & Kale, A. (2019). Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fi xation: a comparative study. International Braz J Urol : Official Journal of the Brazilian Society of Urology, 45(5), 999-1007. https://doi.org/10.1590/S1677-5538.IBJU.2019.0103
Astepe BS, et al. Intermediate-term Outcomes of Laparoscopic Pectopexy and Vaginal Sacrospinous Fi Xation: a Comparative Study. Int Braz J Urol. 2019;45(5):999-1007. PubMed PMID: 31408288.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fi xation: a comparative study. AU - Astepe,Bahar Sariibrahim, AU - Karsli,Aybike, AU - Köleli,Işil, AU - Aksakal,Orhan Seyfi, AU - Terzi,Hasan, AU - Kale,Ahmet, PY - 2019/02/11/received PY - 2019/05/31/accepted PY - 2019/8/14/pubmed PY - 2019/11/2/medline PY - 2019/8/14/entrez KW - Hand-Assisted Laparoscopy KW - Pelvic Organ Prolapse KW - Treatment Outcome SP - 999 EP - 1007 JF - International braz j urol : official journal of the Brazilian Society of Urology JO - Int Braz J Urol VL - 45 IS - 5 N2 - OBJECTIVE: To compare the intermediate-term follow-up results of laparoscopic pectopexy and vaginal sacrospinous fi xation procedures. MATERIALS AND METHODS: Forty-three women who had vaginal sacrospinous fixations (SSF) using Dr. Aksakal's Desta suture carrier and 36 women who had laparoscopic pectopexies were re-examined 7 to 43 months after surgery. The PISQ-12 and P-QOL questionnaires were answered by all of the women. RESULTS: The apical descensus relapse rates did not differ between the groups (14% in the SSF vs. 11.1% in the pectopexy group). The de novo cystocele rates were higher in the SSF group (25.6% in the SSF vs. 8.3% in the pectopexy group). There were no significant differences in the de novo rectocele numbers between the groups. The treatment satisfaction rates were high in both groups (93% in the SSF vs. 91.7% in the pectopexy group), which was not statistically significant. Moreover, the postoperative de novo urge and stress urinary incontinence rates did not differ; however, the postoperative sexual function scores (PISQ-12) (36.86±3.15 in the SSF group vs. 38.21±5.69 in the pectopexy group) were better in the pectopexy group. The general P-QOL scores were not signifi cantly different between the surgery groups. CONCLUSION: The vaginal sacrospinous fixation maintains its value in prolapse surgery with the increasing importance of native tissue repair. The new laparoscopic pectopexy technique has comparable positive follow-up results with the conventional sacrospinous fixation procedure. SN - 1677-6119 UR - https://www.unboundmedicine.com/medline/citation/31408288/Intermediate-term_outcomes_of_laparoscopic_pectopexy_and_vaginal_sacrospinous_fi_xation:_a_comparative_study L2 - https://www.intbrazjurol.com.br/pdf/vol45n05/Astepe_999_1007.pdf DB - PRIME DP - Unbound Medicine ER -