Laparoscopic Sacrocolpopexy Versus Transvaginal Mesh Pelvic Floor Reconstruction Surgery for Treatment of Pelvic Organ Prolapse

The study aims to compare the objective and subjective outcomes of laparoscopic sacrocolpopexy (LSC) and transvaginal mesh (TVM) surgery. A retrospective study of 62 women with pelvic organ prolapse stage III and IV among patients who underwent LSC (N = 30) and TVM (N = 32). The pelvic floor quality of life questionnaires (PFDI-20, PFIQ-7, PISQ-12) and the pelvic organ prolapse quantification (POP-Q) were used to assess the subjective and objective outcomes, respectively. The intraoperative details and long-term surgery complications were assessed as well. The patients were reviewed after the operation for a gynecological examination, treatment, and functional outcomes evaluation. Compared to preoperative POP-Q measurement, except for PB and TVL, the postoperative objective outcomes improved significantly for the two groups (P < 0.05). The postoperative mean for PB increased significantly in the TVM group than in the LSC group, 2.75 +/- 0.49 Vs 2.45 +/- 0.68, (P = 0.04), and the postoperative mean for point C was more improved in LSC than in the TVM group, (- 5.68 +/- 2.76 Vs - 5.59 +/- 2.07), respectively. The PFDI-20 questionnaire shows that the post-operative subjective outcomes were significantly improved compared to preoperative status in LSC and TVM (P < 0.05), except CRADI-8 questionnaire for LSC (P = 0.4). The PFIQ-7 improved significantly in TVM (P < 0.05), except CRAIQ-7 (P = 0.5). However, there were no statistically significant in the LSC group (P > 0.05). Patients who went for the LSC procedure had a longer operation time and greater blood loss than TVM. The TVM surgery offered a higher patient satisfaction for colorectal-anal symptoms than LSC. The patients who underwent LSC had a more extended operating time and greater blood loss, while those who underwent TVM had a higher rate of dyspareunia.