title: Laparoscopic sacrocolpopexy for uterine and post-hysterectomy prolapse: anatomical and functional outcomes.
abstract: OBJECTIVE
  To evaluate the anatomical and functional outcomes following laparoscopic sacrocolpopexy in a local unit.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  A regional hospital in Hong Kong.
  
  
  METHODS
  All women who underwent laparoscopic sacrocolpopexy for symptomatic uterine or post-hysterectomy prolapse from January 2003 to December 2008.
  
  
  METHODS
  Anatomical outcomes, functional outcomes including complications.
  
  
  RESULTS
  A total of 31 patients were recruited. The success rate in treating apical vaginal wall prolapse was 100%. There were no recurrences of vault prolapse (defined as stage II or higher). Approximately 19% of women had anterior vaginal wall prolapse and 23% had urinary stress incontinence postoperatively; 6% had a second operation because of anterior vaginal wall prolapse. The rates of dyspareunia and constipation were low. The mean hospital stay was 4 (range, 2-11) days. Two patients sustained bladder injuries and one rectal injury resulting in a rectovaginal fistula. For three patients the procedure was converted to a laparotomy.
  
  
  CONCLUSIONS
  Laparoscopic sacrocolpopexy is feasible in our population and has a high success rate for treating apical vaginal wall prolapse. The incidence of complications was acceptable.
authors.affiliation: Department of Obstetrics and Gynaecology, United Christian Hospital, Kwun Tong, Hong Kong. chanmy7@ha.org.hk
authors.forename: C M Y
authors.initials: CM
authors.lastname: Chan
authors.forename: H H X
authors.initials: HH
authors.lastname: Liang
authors.forename: W W
authors.initials: WW
authors.lastname: Go
authors.forename: W W K
authors.initials: WW
authors.lastname: To
authors.forename: K M
authors.initials: KM
authors.lastname: Mok
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012189:Retrospective Studies; D012447:Sacrum / Q000601:surgery; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*