Laparoscopic pectopexy: initial experience of single center with a new technique for apical prolapse surgery

Vol. 43 (x): 2017 June 6.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2017.0070


ORIGINAL ARTICLE

Ahmet Kale 1, Alper Biler 2, Hasan Terzi 1, Taner Usta 3, Ebru Kale 4
1 Department of Obstetrics and Gynecology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey; 2 Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, Izmir, Turkey; 3 Department of Obstetrics and Gynecology, Bagcılar Training and Research Hospital, Istanbul, Turkey; 4 Department of Biochemistry, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey

ABSTRACT

Objective: To share our first experience with laparoscopic pectopexy, a new technique for apical prolapse surgery, and to evaluate the feasibility of this technique.

Materials and Methods: Seven patients with apical prolapse underwent surgery with laparoscopic pectopexy. The lateral parts of the iliopectineal ligament were used for a bilateral mesh fixation of the descended structures. The medical records of the patients were reviewed, and the short-term clinical outcomes were analyzed.

Results: The laparoscopic pectopexy procedures were successfully performed, without intraoperative and postoperative complications. De novo apical prolapse, de novo urgency, de novo constipation, stress urinary incontinence, anterior and lateral defect cystoceles, and rectoceles did not occur in any of the patients during a 6-month follow-up period.

Conclusion: Although laparoscopic sacrocolpopexy has shown excellent anatomical and functional long-term results, laparoscopic pectopexy offers a feasible, safe, and comfortable alternative for apical prolapse surgery. Pectopexy may increase a surgeon’s technical perspective for apical prolapse surgery.

 

Keywords: Laparoscopy; Pelvic Organ Prolapse; Vagina

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