Laparoscopic versus vaginal native tissue repair in combination with pectopexy. Sub-analysis from an international, prospective, and multi-centre study: short term results

Noe, Guenter K., Barnard, Annelize, Spuentrup, Carolin, Schiermeier, Sven, Soltecz, Stephan, Anapolski, Michael and Alkatout, Ibrahim . Laparoscopic versus vaginal native tissue repair in combination with pectopexy. Sub-analysis from an international, prospective, and multi-centre study: short term results. Minim. Invasive Ther. Allied Technol.. ABINGDON: TAYLOR & FRANCIS LTD. ISSN 1365-2931

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DOI:10.1080/13645706.2021.1941118

Abstract

Introduction The use of mesh for vaginal repairs is currently problematic and as a consequence, there is increased interest in native tissue repair. We describe the follow-up data of a sub-analysis of a prospective and multi-center study focusing on the combination of pectopexy and native tissue repair. Patients were followed up for 12-18 months after surgery (+ SD: 15). Two-hundred and sixty-four patients attended the clinics for physical examination and were integrated into the follow-up. Cystocele repair was performed laparoscopically in 84 patients and vaginally in 52 patients. Posterior repair was performed vaginally in 40 patients and laparoscopically in 53 patients. Results: Clinical success rate, patient recommendations and patient satisfaction rates were similar in both groups. The laparoscopic anterior repair resulted in an 89% cure or anatomical improvement rate; this compared to 94.2% for the vaginal approach. In the posterior group, laparoscopy resulted in a 94.3% cure or improvement rate compared to 97.5% in the second group. Conclusions: The outcomes of both strategies showed satisfactory results in our study. Consequently, surgeons may choose between the two strategies according to their preference and skill. The two approaches only differed with regard to vaginal scarring. We suggest future research investigating the long-term impact of scarring.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Noe, Guenter K.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Barnard, Annelize	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Spuentrup, Carolin	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Schiermeier, Sven	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Soltecz, Stephan	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Anapolski, Michael	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Alkatout, Ibrahim	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED