title: Sacrocolpopexy: Surgical Technique, Outcomes, and Complications.
abstract: OBJECTIVE
  Pelvic organ prolapse is a non-life-threatening condition that has a wide variety of symptoms. Sacrocolpopexy has been the "gold standard" for management of apical pelvic organ prolapse with reported high success rates for anatomic correction. Herein, we review the surgical procedure, anatomic, and functional outcomes, as well as the intraoperative and postoperative complications.
  
  
  RESULTS
  Findings suggest that the ASC has an acceptably low overall complication rate comparable between open and minimally invasive approach. Mesh extrusion and anatomic failure have been shown to increase over time. Patient education and counseling are important preoperatively. It is important to discuss with the patient risks of the surgical procedure, specifically mesh-related extrusion, longer term anatomic recurrence rates, rates of functional improvement, or worsening of bladder and bowel symptoms, as well as rates of dyspareunia.
authors: Department of Urology, The University of Iowa, 200 Hawkins Dr., 3 RCP, Iowa City, IA, 52242-1089, USA.
authors: Elizabeth B
authors: EB
authors: Takacs
authors: Department of Urology, The University of Iowa, 200 Hawkins Dr., 3 RCP, Iowa City, IA, 52242-1089, USA. karl-kreder@uiowa.edu.
authors: Karl J
authors: KJ
authors: Kreder
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications; D012447:Sacrum / Q000601:surgery*; D013536:Suture Techniques; D014621:Vagina / Q000601:surgery*
keywords: Dyspareunia; Pelvic organ prolapse; Sacrocolpopexy; Voiding dysfunction