title: Pregnancy after laparoscopic sacral colpopexy: a case report.
abstract: We report a case of a pregnancy and follow the delivery of a young woman who previously underwent a laparoscopic sacral colpopexy (LSC) for pelvic organ prolapse (POP). A 38-year-old woman with POP desires pregnancy who after unsuccessful medical treatment with pessary underwent a laparoscopic uterine ventrosuspension (LUV). However, this procedure also failed and there was an immediate relapse. Thus, LSC was then performed. After which, she became pregnant culminating in elective caesarean delivery. The LUV failure was documented by a POP-Q classification and dynamic pelvic magnetic resonance (PMR) which was carried out 1 month after the surgery. When the same assessment was conducted after the LSC, it showed an optimal POP correction. The short-term post-delivery follow-up exhibited a small prolapse relapse, which remained stable 48 months after surgery as confirmed by a new PMR. Surgical correction of POP is possible in women with pregnancy desires. The result is variable and links to the POP stage and other surgical interventions.
authors: Department of Visceral and Gynecologic Surgery, Diaconesses Hospital, Paris, France.
authors: Pierre
authors: P
authors: Gadonneix
authors: Giuseppe
authors: G
authors: Campagna
authors: Richard
authors: R
authors: Villet
mesh_terms: D000328:Adult; D003127:Colposcopy / Q000379:methods*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D012445:Sacrococcygeal Region; D013537:Sutures; D016896:Treatment Outcome