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BioMed Research International
Volume 2015, Article ID 860784, 9 pages
http://dx.doi.org/10.1155/2015/860784
Clinical Study

A Novel Operative Procedure for Pelvic Organ Prolapse Utilizing a MRI-Visible Mesh Implant: Safety and Outcome of Modified Laparoscopic Bilateral Sacropexy

1Department of Obstetrics and Gynecology, University Hospital Homburg, Kirrberger Straße 100, 66424 Homburg, Germany
2Department of Obstetrics and Gynecology, Klinikum Bielefeld, Teutoburger Straße 50, 33604 Bielefeld, Germany
3Department of Urology, Lukaskrankenhaus GmbH, Preußenstraße 84, 41464 Neuss, Germany
4Department of Gynecology, University Hospital Charité, Campus Virchow-Klinikum (CVK), Mittelallee 9, 13353 Berlin, Germany
5Department of Radiology, University Hospital Homburg, Kirrberger Straße 100, 66424 Homburg, Germany

Received 25 July 2014; Accepted 7 October 2014

Academic Editor: Uwe Klinge

Copyright © 2015 Ralf Joukhadar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Sacropexy is a generally applied treatment of prolapse, yet there are known possible complications of it. An essential need exists for better alloplastic materials. Methods. Between April 2013 and June 2014, we performed a modified laparoscopic bilateral sacropexy (MLBS) in 10 patients using a MRI-visible PVDF mesh implant. Selected patients had prolapse POP-Q stages II-III and concomitant OAB. We studied surgery-related morbidity, anatomical and functional outcome, and mesh-visibility in MRI. Mean follow-up was 7.4 months. Results. Concomitant colporrhaphy was conducted in 1/10 patients. Anatomical success was defined as POP-Q stage 0-I. Apical success rate was 100% and remained stable. A recurrent cystocele was seen in 1/10 patients during follow-up without need for intervention. Out of 6 (6/10) patients with preoperative SUI, 5/6 were healed and 1/6 persisted. De-novo SUI was seen in 1/10 patients. Complications requiring a relaparoscopy were seen in 2/10 patients. 8/10 patients with OAB were relieved postoperatively. The first in-human magnetic resonance visualization of a prolapse mesh implant was performed and showed good quality of visualization. Conclusion. MLBS is a feasible and safe procedure with favorable anatomical and functional outcome and good concomitant healing rates of SUI and OAB. Prospective data and larger samples are required.