Positive symptom improvement with laparoscopic uterosacral ligament repair for uterine or vaginal vault prolapse: interim results from an active multicenter trial.
Publication/Presentation Date
1-1-2007
Abstract
STUDY OBJECTIVE: To evaluate the use of laparoscopic uterosacral ligament repair for long-term patient symptom improvement in patients with uterine prolapse or posthysterectomy vaginal vault prolapse and to evaluate how laparoscopic instrumentation kits facilitate procedure performance for the surgeon.
DESIGN: Nonrandomized, prospective, multicenter case series (Canadian Task Force classification II-2).
SETTING: Five clinical sites consisting of 4 community hospitals and 1 university medical center.
PATIENTS: Seventy-two patients with stage II or worse uterine prolapse (58%, n = 42) or posthysterectomy vaginal vault prolapse (42%, n = 30). One patient with stage I vaginal vault prolapse was included in the group due to her significant symptoms.
INTERVENTIONS: Laparoscopic uterosacral ligament repair was performed on all patients; round ligament truncation was also performed selectively on patients with uterine prolapse. Fifty-seven percent (41 patients) had concomitant pelvic procedures.
MEASUREMENTS AND MAIN RESULTS: At 12-month follow-up, Pelvic Organ Prolapse Quantification (POP-Q) scores and patient self-reported symptom scores were significantly improved over baseline after laparoscopic repair of pelvic organ prolapse. Positive mean change in POP-Q score was 14.4 (p = .0003) for uterine prolapse repair and 9.28 (p = .017) for vaginal vault prolapse repair. Positive mean change in total symptom score was 20.36 (p
CONCLUSION: Laparoscopic uterosacral ligament repair improves symptoms and POP-Q scores over the long term in patients with uterine or vaginal vault prolapse. Laparoscopic instrumentation kits facilitate procedure performance for the surgeon with expedited surgery times.
Volume
14
Issue
5
First Page
570
Last Page
576
ISSN
1553-4650
Published In/Presented At
Schwartz, M., Abbott, K. R., Glazerman, L., Sobolewski, C., Jarnagin, B., Ailawadi, R., & Lucente, V. (2007). Positive symptom improvement with laparoscopic uterosacral ligament repair for uterine or vaginal vault prolapse: interim results from an active multicenter trial. Journal of minimally invasive gynecology, 14(5), 570–576. https://doi.org/10.1016/j.jmig.2007.01.008
Disciplines
Medicine and Health Sciences
PubMedID
17848317
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article