Experience in the correction of genital prolapse with laparoscopic lateral suspension in patients underwent total or subtotal hysterectomy

Abstract

Experience in the correction of genital prolapse with laparoscopic lateral suspension in patients underwent total or subtotal hysterectomy M.V. Gavrilov1,2, I.A. Lapina1,2, V.V. Taranov1, T.G. Koltinova1 1Pirogov Russian National Research Medical University, Moscow, Russian Federation 2Group of companies «Medsi», Moscow, Russian Federation Genital prolapse (GP) is still an important issue of modern gynecology. Advances in treatment approaches to this disorder based on its severity and many other factors are reported every year. Patients and Methods: 36 women with verified apical genital prolapse (i.e., 24 women with posthysterectomy vaginal vault prolapse and 12 women with genital prolapse after supracervical hysterectomy) were enrolled in the study. At admission, the most common complaints were foreign body sensation in the perineum (31 women, 86%), dyspareunia (10 women, 28%), and obstructed defecation (6 women, 17%). 34 women (94%) had vaginal delivery. POP-Q system was used to stage pelvic organ prolapse. POP-Q stage 2 was diagnosed in 16.7%, stage 3 in 38.9%, and stage 4 in 44.4%. All women underwent laparoscopic lateral suspension with mesh. Results: 6 and 12 months after the surgery, no recurrent genital prolapse was diagnosed by gynecological (vaginal) examination and pelvic ultrasound. The quality of life assessed by the PFIQ-7 questionnaire has improved (19.8±3.7). Sexual activity assessed by the PISQ-12 questionnaire has significantly improved (20.1±2.4). Conclusion: laparoscopic lateral suspension with synthetic mesh is an effective, simple, and safe technique for genital prolapse surgery. This procedure provides minimal early and late postoperative complications and significantly improves the qulity of life. Key words: sacrocolpopexy, laparoscopic lateral suspension, genital prolapse, apical prolapse, mesh implant, mesh erosion. For citation: Gavrilov M.V., Lapina I.A., Taranov V.V., Koltinova T.G. Experience in the correction of genital prolapse with laparoscopic lateral suspension in patients underwent total or subtotal hysterectomy. Russian Journal of Woman and Child Health. 2019;2(1):28–32.