Single-port Laparoscopic Abdominal Sacral Colpopexy

Initial Experience and Comparative Outcomes

Wesley White, Raj K. Goel, Mia A. Swartz, Courtenay Moore, Raymond R. Rackley, Jihad H. Kaouk

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Objectives: To determine the efficacy and safety of single-port laparoscopic abdominal sacral colpopexy (ASC) for the treatment of female pelvic organ prolapse (POP). Methods: A retrospective cohort study was performed to assess perioperative outcomes among women who were treated for symptomatic POP with laparoscopic, robotic, or single-port laparoscopic ASC. All patients underwent preoperative history and physical examination including POP quantification (POP-Q) staging and urodynamics. ASC with or without anti-incontinence surgery was performed via the aforementioned approaches. Demographic and perioperative data were obtained. Patients were followed up postoperatively at 3 and 6 months with POP-Q evaluation. Statistical analysis was performed. Results: From October 2005 to July 2008, 30 female patients with symptomatic Stage II (6 patients), Stage III (23 patients), or Stage IV (1 patient) POP were treated with laparoscopic (10), robotic (10), or single-port laparoscopic (10) ASC. Mean age of the entire cohort was 61.1 years. Mean body mass index was 26.7 kg/m2. Seventeen patients demonstrated stress urinary incontinence and underwent concomitant sling placement. No intraoperative complications were encountered. No significant difference was noted in the 3 cohorts with respect to operative time, blood loss, mean visual analog pain score at discharge, or duration of hospitalization. At 6 months following surgery, 27 patients underwent follow-up POP-Q, with all patients demonstrating excellent apical support and prolapse reduction. Conclusions: Single-port laparoscopic ASC offers comparable efficacy and superior cosmesis compared to alternative approaches. Long-term follow-up is needed to confirm durability of repair.

Original languageEnglish (US)
Pages (from-to)1008-1012
Number of pages5
JournalUrology
Volume74
Issue number5
DOIs
StatePublished - Nov 1 2009
Externally publishedYes

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Pelvic Organ Prolapse
Robotics
Stress Urinary Incontinence
Urodynamics
Prolapse
Intraoperative Complications
Operative Time
Physical Examination
Hospitalization
Body Mass Index
Cohort Studies
Retrospective Studies
History
Demography
Safety
Pain

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Single-port Laparoscopic Abdominal Sacral Colpopexy : Initial Experience and Comparative Outcomes. / White, Wesley; Goel, Raj K.; Swartz, Mia A.; Moore, Courtenay; Rackley, Raymond R.; Kaouk, Jihad H.

In: Urology, Vol. 74, No. 5, 01.11.2009, p. 1008-1012.

Research output: Contribution to journalArticle

White, Wesley ; Goel, Raj K. ; Swartz, Mia A. ; Moore, Courtenay ; Rackley, Raymond R. ; Kaouk, Jihad H. / Single-port Laparoscopic Abdominal Sacral Colpopexy : Initial Experience and Comparative Outcomes. In: Urology. 2009 ; Vol. 74, No. 5. pp. 1008-1012.
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