title: The effectiveness of two different laparoscopic surgeries for apical support of pelvic organ prolapse.
abstract: OBJECTIVE
  To evaluate the efficacy of laparoscopic colpo-uterine butterfly suspension and compare it to laparoscopic sacrocervicopexy for apical support in sexually active patients of pelvic organ prolapse.
  
  
  METHODS
  Twenty-there women with symptomatic prolapse of apical prolapse underwent laparoscopic colpo-uterine butterfly suspension and forty-five underwent laparoscopic sacrocervicopexy at the first affiliated of Zhengzhou University between January 2010 and June 2013. They all presented with at least a stage 2 apical prolapse. Pre- and post-operative data referring to pelvic organ prolapse quantification (POP-Q) system were compared. At the same time, validated questionnaire of the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12) were included.
  
  
  RESULTS
  From 2010 to 2013, 68 patients were included. Only 3 cases lost the follow-up in the Laparoscopic sacrocervicopexy. In the laparoscopic colpo-uterine butterfly suspension, there was no recurrence versus in five the laparoscopic sacrocervicopexy. When considered the operating time and blood loss, the laparoscopic colpo-uterine butterfly suspension was more favorable. Erosion was higher in the laparoscopic sacrocervicopexy compared to the other group (0% vs 21.4%). There was no difference in the postoperative PFDI-20 score (P=0.3079), and PFIQ-7 score (P=0.8889) between the two groups, while the PISQ-12 score was much higher in the laparoscopic colpo-uterine butterfly suspension than the other group (P=0.0076).
  
  
  CONCLUSIONS
  Laparoscopic colpo-uterine butterfly suspension is a more effective option for sexually active women with pelvic organ prolapse.
authors: Department of Obstetrics and Gynecology, The First Affiliated Hospital of Zhengzhou University, Number 1. East Street of Jian She, Zhengzhou 450052, China. Electronic address: lishunshuang@163.com.
authors: Shunshuang
authors: S
authors: Li
authors: Department of Obstetrics and Gynecology, The First Affiliated Hospital of Zhengzhou University, Number 1. East Street of Jian She, Zhengzhou 450052, China. Electronic address: jimeilss@163.com.
authors: Mei
authors: M
authors: Ji
authors: Department of Obstetrics and Gynecology, The First Affiliated Hospital of Zhengzhou University, Number 1. East Street of Jian She, Zhengzhou 450052, China. Electronic address: jimeilss@163.com.
authors: Zhao
authors: Z
authors: Zhao
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012008:Recurrence; D012447:Sacrum / Q000601:surgery; D012720:Severity of Illness Index; D019529:Sexuality; D013526:Surgical Mesh; D011795:Surveys and Questionnaires; D014621:Vagina / Q000601:surgery
keywords: Colpo-uterine butterfly suspension; Laparoscopy; POP-Q; Pelvic organ prolapse; Sacrocervicopexy