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Obstetrics and Gynecology International
Volume 2012, Article ID 538426, 6 pages
http://dx.doi.org/10.1155/2012/538426
Clinical Study

Laparoscopic Sacropexy: A Retrospective Analysis of the Subjective Outcome in 310 Cases

1Klinik für Minimal Invasive Chirurgie, Kurstraße 11, 14129 Berlin, Germany
2Medizinische Fakultät, Ernst-Moritz-Arndt-Universität Greifswald, Friedrich-Loeffler-Straße 23 b, 17457 Greifswald, Germany
3Klinik für Frauenheilkunde, Pius-Hospital, Georgstraße 12, 26121 Oldenburg, Germany

Received 8 June 2011; Accepted 11 July 2011

Academic Editor: Papa Petros

Copyright © 2012 B. Bojahr 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

Background and Objective. The aim of this study was to assess the subjective outcome following laparoscopic sacropexy. Methods. We performed a retrospective cohort study among women treated for descensus with laparoscopic sacropexy between January 2000 and December 2007. 310 patients received questionnaires during followup assessing major pre- and postoperative symptoms and overall satisfaction. Results. 214 (69%) patients responded to the questionnaire. Mean followup was 24.5 months. The number of patients with back or lower abdominal pain, foreign body sensation in the vagina and prolapse-related symptoms, urinary symptoms, vaginal and bladder infections, and the need for pessary usage decreased significantly postsurgically. Bowel symptoms increased slightly but not significantly. Two years after surgery, nearly 2 thirds of the women were satisfied or very satisfied with the outcome. Conclusion. Laparoscopic sacropexy is an effective treatment of descensus, with favorable or satisfactory subjective outcomes.