Objective: :Apical compartment prolapse affects the day-to-day activities while decreasing the quality of life of affected women. With better anatomical understanding of the supports of pelvic organs and increasing life expectancy of women, reconstructive pelvic surgeries may be offered to all. Restoration of anatomical positions of displaced pelvic organs can be achieved either by open abdominal, laparoscopic or vaginal suspension procedures.
The aim of the study was to assess the perioperative and short term (6–24 months) post-operative success rates, complications and subjective satisfaction of women undergoing apical prolapse surgery by abdominal sacrohysteropexy for uterine prolapse and sacrocolpopexy for vault prolapse.
Materials and Methods: :A prospective observational study of 41 patients who underwent abdominal mesh surgery for apical prolapse, during 2016–2018, in a tertiary hospital of eastern India. These patients were followed up for over a 2 years period, to assess the outcome measures.
Results: :Mean follow up of patients was 18.3 months with apical success rates (defined as Pelvic Organ Prolapse Quantifications System staging of 0/1 post-surgery) of 100% (mean point C -6.55 and mean point D - 8.8). Intraoperative complications encountered were bladder injury and hemorrhage. No mesh complications occurred during the study period. A significant reduction in the subjective scores of vaginal symptoms, sexual wellbeing and quality of life was also noted in study participants.
Conclusion: :Abdominal sacrocolpopexy and sacrohysteropexy showed excellent anatomical success rates as per results of this study. They provide optimum apical support with a good functional outcome for patients with vaginal apical prolapse.
Corresponding Author: ANANT M.|