Laparoscopic Sacrocolpopexy for Management of Pelvic Organ Prolapse Enhances Quality of Life at One Year: A Prospective Observational Study

Study ObjectiveAssessment of 1-year quality of life outcome of patients treated with laparoscopic sacrocolpopexy.DesignA prospective multicenter observational study (Canadian Task Force classification II-3).SettingFour French medical centers.PatientsA total of 94 women who underwent laparoscopic sacrocolpopexy for pelvic organ prolapse between June 2006 and May 2007 were included in the study.Measurements and Main ResultsWomen attended a research clinic where they completed validated quality of life questionnaires and were examined. Women were assessed before and 1 year after surgery for the degree and impact of vaginal, urinary, and bowel symptoms with validated quality of life questionnaires, evaluation of sexual function with a validated questionnaire, and pelvic organ support was assessed by a Pelvic Organ Prolapse Quantification score. Mean age of the women was 58.8 years. Anatomic success occurred in 94% of women. Concomitant urinary continence surgery was performed in 39% of cases. All the scores of quality of life and sexuality were significantly improved at 1 year.ConclusionsLaparoscopic sacrocolpopexy for pelvic floor prolapse is a safe and effective treatment that has a positive impact on every aspect of quality of life (symptoms, social impact, sexual function) in the medium term.