[Laparoscopic promontal fixation: assessment of 100 cases].
OBJECTIVE
Aim of the study is to evaluate long term results of 100 patients treated laparoscopically to repair genital prolapse and urinary incontinence.


METHODS
A retrospective review analysis of 100 women, who underwent laparoscopic genital prolapse repair at Primary Referral University Hospital in Clermont-Ferrand. Patients characteristics, preoperatory exams, intraoperative, postoperative and outpatient clinic data were collected and analyzed.


RESULTS
The mean operative time was 172 minutes. One laparotomy conversion was required, due to a technical problem. The mean hospitalization stay was 4.7 days. Two patients required a reintervention during their hospitalization stay, due to a complication. All the patients were reviewed during the 6 months later the intervention. The follow-up is between 6 months and 3 years. The average degree of cystocele and hysterocele was ameliorated from stage 3 to stage 0, the average stage of rectocele was ameliorated from stage 2 to stage 0, finally the average stage of vault prolapse was ameliorated from stage 1 to stage 0. The incidence of genuine stress incontinence was 47% in the preoperative time and only 4% at the long follow-up. We had a total 4% rate of mesh vaginal erosion.


CONCLUSIONS
The laparoscopic sacrocolpopexy is an effective and safe technique to repair the major pelvic prolapses.
Salvatores
M
M
Polyclinique de l'Hotel Dieu, University of Clermont-Ferrand, Clermont-Ferrand, France. marco.salvatores@libero.it
Pellegrini
P
P
Botchorishvili
R
R
Canis
M
M
Pouly
J L
JL
Mage
G
G
Wattiez
A
A
D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D012189:Retrospective Studies; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*