Laparoscopic Pectopexy technique
Background: Vaginal sacrospinous fixation (VSSF) and laparoscopic pectopexy (LPP) are two common procedures in pelvic organ prolapse (POP) surgery. The aim was to describe the analysis of follow-up data from a prospective, single-center study focusing on the comparison of these methods.
Methods: The study was conducted with 71 women who underwent VSSF or LPP in 2019-2020. Surgical complications and the results of questionnaires assessing various POP-related quality of life measures were primary outcomes while operative time, postoperative pain and length of hospitalization were secondary outcomes.
Results: The study was completed with 59 participants who underwent VSSF (n=33) and LPP (n=26). All questionnaire scores improved significantly in both groups after surgery. Prolapse Quality of Life (P-QoL) showed significantly higher improvement in the VSSF group 6 months and 3 years postoperatively (p=0.009 and 0.001, respectively). Postoperative 3rd year de novo cystocele, rectocele and urinary incontinence rates were extremely low and not different.
Conclusions: Both methods significantly improved all prolapse symptoms, although the improvement in P-QoL scores was more pronounced with VSSF. LPP is a promising, safe and effective minimally invasive technique for POP reconstruction, while VSSF further consolidates its position in POP surgery along with the safety of native tissue reconstruction.
