title: Laparoscopic sacrocolpopexy: an observational study of functional and anatomical outcomes.
abstract: OBJECTIVE
  the aim of the study was to evaluate the clinical and functional outcomes of laparoscopic sacrocolpopexy, in particular its effect on female sexual function.
  
  
  METHODS
  a retrospective observational study of women undergoing laparoscopic sacrocolpopexy between February 2005 and March 2009 was undertaken. Pelvic organ support was assessed objectively using the pelvic organ prolapse quantification scale (POP-Q). Functional outcomes were assessed using the International Consultation on Incontinence questionnaire for vaginal symptoms (ICIQ-VS), both preoperatively and at 6-36 months postoperatively.
  
  
  RESULTS
  eighty-four women with a mean age of 65 years (range, 49-78 years) were studied. At follow-up in clinic, all women had good vault support (mean point C, -8.9; range, 10 to -8). Subjective improvements in prolapse symptoms and sexual well-being were observed with significant reductions in the respective questionnaire scores.
  
  
  CONCLUSIONS
  our results confirm previous findings that laparoscopic sacrocolpopexy is a safe and efficacious surgical treatment for post-hysterectomy vaginal vault prolapse. It provides excellent apical support and good functional outcome with overall improvement in sexual function.
authors.affiliation: Department of Obstetrics and Gynaecology, John Radcliffe Hospital, Oxford, UK. natalia.price@doctors.org.uk
authors.forename: Natalia
authors.initials: N
authors.lastname: Price
authors.forename: Alex
authors.initials: A
authors.lastname: Slack
authors.forename: Simon R
authors.initials: SR
authors.lastname: Jackson
mesh_terms: D000368:Aged; D020884:Colpotomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006306:Health Surveys; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D012725:Sexual Behavior / Q000502:physiology; D016896:Treatment Outcome; D014621:Vagina / Q000033:anatomy & histology* / Q000502:physiology*