title: Laparoscopic sacropexy: a retrospective analysis of the subjective outcome in 310 cases.
abstract: Background and Objective. The aim of this study was to assess the subjective outcome following laparoscopic sacropexy. Methods. We performed a retrospective cohort study among women treated for descensus with laparoscopic sacropexy between January 2000 and December 2007. 310 patients received questionnaires during followup assessing major pre- and postoperative symptoms and overall satisfaction. Results. 214 (69%) patients responded to the questionnaire. Mean followup was 24.5 months. The number of patients with back or lower abdominal pain, foreign body sensation in the vagina and prolapse-related symptoms, urinary symptoms, vaginal and bladder infections, and the need for pessary usage decreased significantly postsurgically. Bowel symptoms increased slightly but not significantly. Two years after surgery, nearly 2 thirds of the women were satisfied or very satisfied with the outcome. Conclusion. Laparoscopic sacropexy is an effective treatment of descensus, with favorable or satisfactory subjective outcomes.
authors.affiliation: Klinik für Minimal Invasive Chirurgie, Kurstraße 11, 14129 Berlin, Germany.
authors.forename: B
authors.initials: B
authors.lastname: Bojahr
authors.forename: G
authors.initials: G
authors.lastname: Tchartchian
authors.forename: M
authors.initials: M
authors.lastname: Waldschmidt
authors.forename: R
authors.initials: R
authors.lastname: Ohlinger
authors.forename: R L
authors.initials: RL
authors.lastname: De Wilde