Laparoscopic sacrocolpopexy for pelvic organ prolapse: Comparison of standard versus tacker combination method. (24th August 2021)

• Record Type: Journal Article
• Authors: Yoshizawa, Tsuyoshi; Mochida, Junichi; Yamaguchi, Kenya; Kadotani, Masaya; Hashimoto, Sho; Funakoshi, Daigo; Sakurai, Fuminori; Hori, Yutaro; Obinata, Daisuke; Takahashi, Satoru
• Is Part Of: International journal of urology. Volume 28:Number 12(2021)
• Page Start: 1227
• Page End: 1232
• Publication Date: 2021-08-24
• Subjects: laparoscopic sacrocolpopexy -- lower urinary tract symptoms -- operation time -- pelvic organ prolapse -- tacker; Urology -- Periodicals; Genitourinary organs -- Periodicals; Urologic Diseases -- Periodicals; 616.6005
• DOI: 10.1111/iju.14676
• Languages: English
• ISSNs: 0919-8172

Abstract

Abstract : Objective: To compare the surgical outcomes of laparoscopic sacrocolpopexy for pelvic organ prolapse between a group in which only sutures were used (standard method), and a group in which a combination of tackers and sutures were used (tacker combination method). Methods: A total of 77 patients who underwent laparoscopic sacrocolpopexys from June 2016 to October 2019 were divided into a suture group (36 patients) and a suture + tacker group (41 patients). We retrospectively compared operation time, amount of blood loss, postoperative length of hospital stay, incidence of perioperative complications and anatomical cure rate 1 year after surgery. Lower urinary tract symptoms were evaluated using symptom questionnaires and objective parameters. Results: Operation time in the suture + tacker group was shorter (104.9 ± 27.0 vs 147.5 ± 33.7 min; P < 0.0001). The incidence of perioperative complications in the suture group and the suture + tacker group was 2.8% and 2.4%, respectively ( P = 0.9409). Anatomical cure rates at 1 year after surgery were 94.4% and 100%, respectively ( P = 0.2153). Both groups showed significant improvement after 1 year for International Prostate Symptom Score total and quality of life score, Overactive Bladder Symptom Score total score, voided volume, maximum urinary flow rate and post‐void residual. [Corrections added on 7 September 2021 after first online publication: the first two P ‐values have been updated.] Conclusions: The combined use of sutures and tackers in laparoscopic sacrocolpopexy simplifies the procedure and translates into shorter operation time. Surgical outcomes at 1 year and improvement of lower urinary tract symptoms are similar regardless of the technique.