title: A novel technique for the management of advanced uterine/vault prolapse: extraperitoneal sacrocolpopexy.
abstract: OBJECTIVE
  Abdominal sacrocolpopexy is the gold standard for advanced uterovaginal/cuff prolapse repair; however, early and late bowel complications are of concern. We report our experience with extraperitoneal sacrocolpopexy (ESCP).
  
  
  METHODS
  Twenty-three patients who underwent ESCP between 2007 and 2010 were analyzed in this retrospective cohort study. Preoperative assessment included Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact (PFIQ-7) questionnaires, and pelvic examination according to Pelvic Organ Prolapse Quantification (POP-Q) system. Pre-operative findings were compared with postoperative values at the last follow-up using the Wilcoxon sign test.
  
  
  RESULTS
  Mean operation time was 86 ± 20 min. Twenty patients were discharged within 24 h. With a mean follow-up of 20 months, objective and subjective cure rates were 91.3% and 86.9%, respectively. No postoperative complications were evident with significant improvement in POP-Q, PFDI-20, and PFIQ-7 scores.
  
  
  CONCLUSIONS
  ESCP is a safe and effective sacrocolpopexy procedure that can potentially eliminate the risk of gastrointestinal complications.
authors.affiliation: Clinic of Urology, Sakarya Training and Research Hospital, Korucuk Campus, 54290 Sakarya, Turkey. ffonol@yahoo.com
authors.forename: Fikret Fatih
authors.initials: FF
authors.lastname: Onol
authors.forename: Erdal
authors.initials: E
authors.lastname: Kaya
authors.forename: Osman
authors.initials: O
authors.lastname: Köse
authors.forename: Sinasi Yavuz
authors.initials: SY
authors.lastname: Onol
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D020047:Rectocele / Q000209:etiology; D012189:Retrospective Studies; D013526:Surgical Mesh; D011795:Surveys and Questionnaires; D016896:Treatment Outcome