Anatomical outcomes and complications of sacrocolpopexy using Surelift Uplift mesh: A multicentric observational study.

Autores de IIS La Fe

• Eduardo José Morán Pascual

  Autor

• Salvador Arlandis Guzmán

  Autor

• María Esther Martínez Cuenca

  Autor

Participantes ajenos a IIS La Fe

• Calleja Hermosa P
• Sánchez Guerrero C
• Viegas V
• Rebassa LLul M
• Jiménez Cidre M
• Errando Smet C
• Gómez de Vicente JM
• Ruiz Hernández M
• Casado Varela J
• Mora Gurrea J
• Pérez Polo M
• López-Fando Lavalle L

Grupos

• Urología

Abstract

OBJECTIVE: The study evaluated the anatomical and functional outcomes, as well as the safety data of laparoscopic sacrocolpopexy (LSC) for pelvic organ prolapse (POP) using a lightweight macroporous mesh. METHODS: A multicentric observational study was developed including five expert centers between March 2011 and December 2019. Inclusion criteria were female patients with symptomatic =stage II POP (POP-Q classification), who underwent a LSC. A lightweight and macroporous mesh device (Surelift Uplift) was used. Baseline anatomical positions were evaluated using POP-Q stage. The anatomical outcomes and procedural complications were assessed during the postoperative period. Primary outcomes were anatomical success, defined as POP-Q stage =I, and subjective success, defined as no bothersome bulge symptoms, and no repeat surgery or pessary use for recurrent prolapse. RESULTS: A total of 325 LSCs were analyzed with a median patient age of 66 (interquartile range [IQR] 61-73). After a median follow-up of 68 months (IQR 46.5-89), anatomical success was found in 88.9%, whereas subjective success was seen in 98.5% of the patients. Recurrent prolapse presented as cystocele (1.5%). Reported complications were bladder (4.6%) or rectum lesions (0.6%), de novo urinary incontinence (12.9%), and mesh extrusion (1.2%). CONCLUSIONS: LSC provides significant clinical improvement and excellent anatomical results, with a low risk of serious complications for women with =2 grade POP in a real clinical practice setting.

© 2024 The Japanese Urological Association.

Keywords

• female; laparoscopy; pelvic organ prolapse; sacrocolpopexy; surgical mesh