SUBMIT MANUSCRIPT

Donnish Journal of Medicine and Medical Sciences

October 2015 Vol. 2(7), pp. 090-095

Copyright © 2015 Donnish Journals




Original Research Paper


Long Term Outcome of Laparoscopic Promontofixation for Pelvic Organ Prolapse. A Prospective Study of 240 Patients


Moez Kdous*, Linda Gargouri, Marwen Braham and Fethi Zhioua

Department of gynecology and obstetrics of Aziza Othmana Hospital, Medicine School of Tunis, University of Tunis El Manar, Tunisia.

Corresponding Author E-mail: kdousmoez@gmail.com

Accepted 13th July, 2015.



Abstract


Objectives: To evaluate the anatomical and functional outcomes of laparoscopic promontofixation using prolene prosthesis, in the cure of genital prolapse. Study Design: This is a consecutive 8-year prospective observational study in which 240 patients presented with at least a stage 2 apical prolapse (Baden and Walker), with an anterior or a posterior vaginal wall prolapse, who underwent a double sacrocolpopexy. Two prolene prosthesis (Pro-swing® – Textile Hi-Tec™, Fr) were used for this technique. Pre- and post-operative data referring to prolapse quantitation, scores of quality of life and sexuality (French equivalent of the Pelvic Floor Distress Inventory (PFDI), Pelvic Floor Impact Questionnaire (PFIQ) and Pelvic organ prolapse-urinary Incontinence-Sexual Questionnaire (PISQ-12) were compared. Peri- and post-operative complications constituted the secondary outcome measures. Results: At 5 years after surgery, 224 over 240 patients were evaluable. For these patients, the anatomical success rates (Stage 0 or 1) on the apical, anterior or posterior compartments were 100%, 97.5% and 89.3% respectively. On the functional level, all the scores of quality of life and sexuality were significantly improved except anorectal scores CRADI and CRAIQ that worsened. Conclusions: This study confirms that laparoscopic promontofixation is an effective technique for the treatment of the urogenital prolapse. On the anatomical level, results are less good for the posterior compartment. On the functional level, our results do not plead in favor of an improvement of anorectal disorders.

Keywords: Laparoscopy, Mesh, Prolapse, Promontofixation, Sacrocolpopexy.

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Cite This Article:

Moez Kdous, Linda Gargouri, Marwen Braham and Fethi Zhioua. Long Term Outcome of Laparoscopic Promontofixation for Pelvic Organ Prolapse. A Prospective Study of 240 Patients. Donnish Journal of Medicine and Medical Sciences 2(7) 2015 pp. 090-095.


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