To Explore the Surgical Outcomes and Safety of an Innovative Laparoscopic Uterine Pectopexy Technique Using Inverted T-meshes for Simultaneous Apical and Anterior Vaginal Repair.

Chung Shan Medical University

Status: Active, not recruiting

Conditions: Sacrocolpopexy; Pelvic Organ Prolapse Vaginal Surgery; Pelvic Organ Prolapse; Pectopexy

Treatments: Procedure: Laparoscopic sacrocolpopexy; Procedure: Laparoscopic pectopexy

Study type: Observational

Funder types: Other

Identifiers

NCT07411898

CSMUH No:CS2-21047

Details and patient eligibility

About

Patients referred for pelvic reconstructive surgery frequently present with combined anterior and apical vaginal wall prolapse. Previous studies found that anterior compartment involvement is the most common and serious defect that occurs with an apical defect. To address this, many surgeons will conduct concomitant surgeries in addition to sacrocolpopexy or pectopexy. This prospective pilot study was conducted to explore the surgical outcomes and safety of an innovative laparoscopic uterine pectopexy technique using inverted T-meshes for simultaneous apical and anterior vaginal repair.

Enrollment: 67 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Presentation with a symptomatic uterine prolapse ≧ POP-Q stage 2 in patients who wished to retain the uterus

Exclusion criteria

• No known uterine or cervical pathology, no previous prolapse mesh repair, and no diseases known to affect bladder or bowel function

Trial design

67 participants in 2 patient groups

Pectopexy

Description:

Laparoscopic pectopexy with inverted T-mesh for concomitant anterior and apical vaginal prolapse repair

Treatment:

Procedure: Laparoscopic pectopexy

Sacrocolpopexy

Description:

Laparoscopic sacrocolpopexy with double mesh for pelvic organ prolapse repair

Treatment:

Procedure: Laparoscopic sacrocolpopexy