Laparoscopic Sacrocervicopexy for the Treatment of Uterine Prolapse: A Retrospective Case Series Report

Study ObjectiveTo evaluate apical support in patients desiring uterine preservation with pelvic organ prolapse who underwent laparoscopic sacrocervicopexy.DesignRetrospective case series report (Canadian Task Force classification III).SettingAcademic community teaching hospital.PatientsForty consecutive women who underwent laparoscopic sacrocervicopexy.InterventionsSynthetic mesh was used to attach the distal uterosacral ligaments and posterior endopelvic fascia to the anterior longitudinal ligament of the sacral promontory.Measurements and Main ResultsPelvic organ prolapse quantification system measurements were used and apical support was evaluated using point C. Mean C was −1.13 (+9 to −4) preoperatively, −5.28 (−3 to −13) at 6 weeks postoperatively, −5.26 (−3 to −8) at 6 months postoperatively, and −4.84 (−3 to −7) at 1 year postoperatively.ConclusionLaparoscopic sacrocervicopexy is an effective option for women with pelvic organ prolapse who desire uterine preservation.