title: Laparoscopic sacrocolpopexy with bone anchor fixation: short-term anatomic and functional results.
abstract: OBJECTIVE
  The aim of this study was to evaluate short-term anatomic and functional outcomes and safety of laparoscopic sacrocolpopexy with bone anchor fixation.
  
  
  METHODS
  A prospective cohort study of women undergoing laparoscopic sacrocolpopexy between 2004 and 2009. Anatomic outcome was assessed using the pelvic organ prolapse quantification score (POP-Q). Functional outcomes were assessed using the Urogenital Distress Inventory, Defecatory Distress Inventory, and the Incontinence Impact Questionnaire preoperatively and at 6 months postoperatively. The Wilcoxon signed rank test was used to test differences between related samples.
  
  
  RESULTS
  Forty-nine women underwent laparoscopic sacrocolpopexy. The objective success rate in the apical compartment was 98%, subjective success rate was 79%. One mesh exposure (2%) was found. One conversion was necessary due to injury to the ileum.
  
  
  CONCLUSIONS
  Laparoscopic sacrocolpopexy with bone anchor fixation is a safe and efficacious treatment for apical compartment prolapse. It provides excellent apical support and good functional outcome 6 months postoperatively.
authors.affiliation: Department of Obstetrics and Gynecology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. m.withagen@obgyn.umcn.nl
authors.forename: Mariëlla I
authors.initials: MI
authors.lastname: Withagen
authors.forename: Mark E
authors.initials: ME
authors.lastname: Vierhout
authors.forename: Guido H
authors.initials: GH
authors.lastname: Mannaerts
authors.forename: Robin M
authors.initials: RM
authors.lastname: van der Weiden
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003127:Colposcopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011446:Prospective Studies; D012189:Retrospective Studies; D013526:Surgical Mesh; D053441:Suture Anchors; D016896:Treatment Outcome; D014599:Uterus / Q000033:anatomy & histology / Q000502:physiology / Q000601:surgery; D014621:Vagina / Q000033:anatomy & histology / Q000502:physiology / Q000601:surgery
references.citation: J Endourol. 2004 Sep;18(7):620-3; discussion 623-4
references.pmid: 15597647
references.citation: JSLS. 2002 Apr-Jun;6(2):115-9
references.pmid: 12113413
references.citation: Obstet Gynecol. 2007 Sep;110(3):625-32
references.pmid: 17766610
references.citation: Int J Gynaecol Obstet. 2010 May;109(2):131-5
references.pmid: 20096834
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jul;20(7):787-90
references.pmid: 19495540
references.citation: BJOG. 2009 Sep;116(10):1380-6
references.pmid: 19583714
references.citation: Surg Endosc. 2005 Apr;19(4):594-7
references.pmid: 15759177
references.citation: J Minim Invasive Gynecol. 2007 Sep-Oct;14(5):577-83
references.pmid: 17848318
references.citation: Neurourol Urodyn. 2003;22(2):97-104
references.pmid: 12579625
references.citation: Obstet Gynecol. 2009 Sep;114(3):600-609
references.pmid: 19701041
references.citation: Urol Clin North Am. 2001 Feb;28(1):151-7
references.pmid: 11277060
references.citation: Cochrane Database Syst Rev. 2010 Apr 14;(4):CD004014
references.pmid: 20393938
references.citation: Am J Obstet Gynecol. 1996 Jul;175(1):10-7
references.pmid: 8694033
references.citation: Am J Obstet Gynecol. 1992 Jun;166(6 Pt 1):1717-24; discussion 1724-8
references.pmid: 1615980
references.citation: J Minim Invasive Gynecol. 2005 May-Jun;12(3):221-6
references.pmid: 15922979
references.citation: BJOG. 2005 Aug;112(8):1134-8
references.pmid: 16045530
references.citation: Obstet Gynecol. 1970 Aug;36(2):251-6
references.pmid: 5428492
references.citation: Obstet Gynecol. 2008 Jan;111(1):152-7
references.pmid: 18165404
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(3):178-86
references.pmid: 11451006
references.citation: Obstet Gynecol. 2011 Feb;117(2 Pt 1):242-250
references.pmid: 21252735
references.citation: Am J Obstet Gynecol. 2001 Feb;184(3):297-302
references.pmid: 11228477
references.citation: Int Urogynecol J. 2011 Jan;22(1):77-82
references.pmid: 20740358
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2006 May;17(3):224-30
references.pmid: 16077997
references.citation: Am J Obstet Gynecol. 2008 Dec;199(6):707.e1-6
references.pmid: 18977469
references.citation: Am J Obstet Gynecol. 2011 Apr;204(4):360.e1-7
references.pmid: 21306698