Purpose Laparoscopic techniques to treat pelvic organ prolapse are gaining popularity
around the globe due to their low recurrence rates and better functional results
compared to perineal techniques. However, the optimum surgical procedures are not
yet determined. In the current research, we suggest a novel surgical approach,
laparoscopic vaginal suspension with suture rectopexy, to treat multiorgan pelvic
prolapse.
Methods This prospective cohort trial was conducted from March 2018 to
March 2022 and comprised 35 females with multiorgan pelvic organ prolapse with
obstructed defecation symptoms. A residual rectal prolapse was still present despite
the manual reduction of uterine prolapse. Patients’ conditions before and after the
operation were monitored regarding the obstructed defecation score, sexual function,
need for laxatives, anorectal manometry pressures, anorectal sensations, and recurrence.
The mean follow-up duration was one year.
Results Modified Longo score for obstructed defecation significantly decreased at six
and twelve months after surgery. Additionally, a significant reduction was reported in
the number of patients who needed laxatives at six and twelve months after surgery.
Anorectalmanometry pre- and post-surgery showed a significant elevation in the mean
squeeze pressure and a decline in all rectal sensations. All parameters of the female
sexual function scoring system increased postoperatively. No recurrence was reported
during follow-up.
Conclusion For multiorgan pelvic prolapse, laparoscopic vaginal suspension combined
with suture rectopexy has excellent functional outcomes, minimal morbidity,
and low cost |
