The effectiveness of the abdominal sacrocolpopexy / sacrohysteropexy with synthetic mesh for repair of apical prolapse

Abstract

: Pelvic organ prolapse is a common condition among parous women, badly affecting their life. They need a safe and consistent procedure that does anatomical correction and also improves their overall quality of life. Abdominal sacrocolpopexy and sacrohysteropexy are promising procedures for apical prolapse repair. Aim was to determine the effectiveness of the abdominal sacrocolpopexy /sacrohysteropexy with synthetic mesh for repair of vault and nulliparous prolapse respectively. The objectives were to describe the outcomes in the form of anatomical correction, symptomatic improvement and the complications in peri-operative and in follow up periods. This prospective observational study was carried out in the department of Obstetric and Gynaecology, at a tertiary care center. The present study included 22 women with vault prolapse (n=18) and nulliparous prolapse (n=4), underwent abdominal sacrocolpopexy /sacrohysteropexy respectively for 2 years from 1st February 2021 to 31st January 2023 and follow up for 12 months. : Most of the women had preoperative apical prolapse in stages-3 (59%), mean age in abdominal sacrocolpopexy/ sacrohysteropexy group was 53.6 years and 26.5 years respectively. Perioperative complications were bladder injury (n=1), paralytic ileus (n=1), wound dehiscence (n=1) and UTI (n=1). In post-operative reassessment of pelvic organ prolapse, vault/uterus was well supported (100%), 100% symptomatic relief. During follow up dyspareunia (n=1), lower backache (n=1) were present, no mesh erosion and no recurrence of Pelvic organ prolapse observed. : Abdominal sacrocolpopexy/ sacrohysteropexy with synthetic mesh are safe and durable procedures for vault and nulliparous prolapse repair respectively.