La colposacropexia laparoscópica en el tratamiento del cistocele

Objective

To study the results of sacrocolpopexy in our hospital for the treatment of cystoceles.

Material and methods

A total of 77 patients were treated by laparoscopic sacrocolpopexy. With a minimum mean follow-up of 6 moths, a clinical examination was performed to detect symptoms of prolapse or urinary, sexual and rectal symptoms. Objective cure was defined as < grade 2 prolapse in the Baden-Walker classification.

Results

The mean age was 53.8 + 8.9 years. The mean operating time was 193.6 + 44 minutes. Intra-operative and post-operative complications rates were 11.6% and 19.4%, respectively. The mean length of hospital stay was 2.7 (1-8) days. With a mean follow-up of 15.3 + 12.8 months, the subjective cure rate was 89.6% and the improvement rate was 6.4%. The rate of anatomical recurrence of cystocele was 11.6%. Seventy-five patients reported they were satisfied or moderately satisfied (97.7%)

Conclusion

Laparoscopy sacrocolpopexy appears to be an effective method for the treatment of cystocele.