Laparoscopic sacrocolpopexy (LSCP) using an ultra-lightweight polypropylene mesh. (April 2019)

• Record Type: Journal Article
• Authors: Dwyer, Lucy; Kumakech, Wilfred; Ward, Karen; Reid, Fiona; Smith, Anthony
• Is Part Of: European journal of obstetrics and gynecology and reproductive biology X. Volume 2(2019)
• Publication Date: 2019-04
• Subjects: LSCP laparoscopic sacrocolpopexy -- PGI-I Patient Global Impression Questionnaire -- PFDI-20 Pelvic Floor Distress Inventory -- EPAQ Electronic Personal Assessment Questionnaire -- POP-Q Pelvic Organ Prolapse Quantification System -- ICS/IUGA International Continence Society/International Urogynecology Association; Laparoscopic sacrocolpopexy -- LSCP -- Ultra-lightweight polypropylene mesh -- Vault prolapse
• DOI: 10.1016/j.eurox.2019.100008
• Languages: English
• ISSNs: 2590-1613

Abstract

Abstract: Objectives: Since 2005 the preferred method for surgical treatment of vaginal vault prolapse within the department has been laparoscopic sacrocolpopexy with an ultra-lightweight polypropylene mesh. The study aimed to explore the functional and anatomical outcomes and mesh adverse events of women following this procedure. Study design: All women who had a Laparoscopic Sacrocolpopexy (LSCP) using an ultra-lightweight (19 g/m 2 ) polypropylene mesh in two units in the North West of England between March 2005 and January 2013 ( n = 238) were invited to participate in the study. Functional outcome data was collected using the Patient Global Impression Questionnaire (PGI-I), the Pelvic Floor Distress Inventory (PFDI-20) and the Electronic Personal Assessment Questionnaire (EPAQ) post-operatively. Anatomical outcome was assessed by Pelvic Organ Prolapse Quantification System (POP-Q) measurement. A mesh palpability assessment was performed and any mesh complications were recorded using the International Continence Society/International Urogynecology Association (ICS/IUGA) classification system. The results were compared to those in our previously published series using the same surgical technique but a standard weight mesh (82.5 g/m 2 ). Results: 89% of participants reported that they felt their post-operative condition had improved. POP-Q results revealed that the median position of C changed from −3 pre-op to −7 post-operatively. Mesh was palpable during vaginal examination in only 3 women (3%). No mesh extrusion was identified during the study. Conclusions: The study demonstrates that LSCP performed with an ultra-lightweight polypropylene mesh improves women's functional and anatomical symptoms and appears to have a low risk of mesh extrusion.