Evaluation of the effectiveness of laparoscopic pectopexy in advanced stage apical prolapse

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dc.contributor.authorBıyık, İsmail
dc.contributor.authorGezer, Şener
dc.contributor.authorElçi Atılgan, Adeviye
dc.contributor.authorUzun, Asiye
dc.contributor.authorSarı, Tuğçe
dc.date.accessioned2025-10-24T11:50:33Z
dc.date.available2025-10-24T11:50:33Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractObjective: We aimed to investigate the effectiveness of the laparoscopic pectopexy procedure in women who want to preserve their uterus for stage III or IV apical prolapse. Study design: 132 women who underwent laparoscopic pectopexy due to stage III or IV apical pelvic organ prolapse (POP) were included in this study. Demographic data of the patients, duration of surgery, blood loss, hospitalisation, intraoperative and postoperative complications, recurrence rate were searched from the hospital file archive. Pelvic organ prolapse quantification (POP-Q) system was used at postoperative control visits. The patients’ quality of life was evaluated by comparing the results of the pelvic organ quality of life (P-QOL) questionnaire which they filled out at the preoperative and 6th months later. Results: The patients’ mean age was 60(52–66)years. The average duration of the surgery was 110(90–150) minutes. Average blood loss was 150(75–220) ml. No intraoperative or postoperative complications were noted. The average hospitalisation was 2(1–3) days. The average follow-up period was 19 (13–26) months. Apical prolapse recurrence was observed in 3 (2.2 %) patients and laparoscopic sacrohysteropexy was performed. There was a significant improvement in the POP-Q scores of the patients in the postoperative period (p < 0.0001). A significant improvement was detected in the P-QOL total score and all each paramaters after surgery (p < 0.0001). Conclusion: Laparoscopic pectopexy seems to be a reliable and efficient method for patients in advanced stages apical prolapse whom wants to preservation of the uterus. With all the advantages of minimally invasive surgery, it increases the patients’ quality of life.
dc.identifier.citationBıyık, İ., Gezer, Ş., Elçi Atılgan, A., Uzun, A. ve Sarı, T. (2024). Evaluation of the effectiveness of laparoscopic pectopexy in advanced stage apical prolapse. European Journal of Obstetrics and Gynecology and Reproductive Biology, 303, 132-136. http://dx.doi.org/10.1016/j.ejogrb.2024.10.031
dc.identifier.doi10.1016/j.ejogrb.2024.10.031
dc.identifier.endpage136
dc.identifier.issn0301-2115
dc.identifier.issn1872-7654
dc.identifier.pmid39490292
dc.identifier.scopus2-s2.0-85207665673
dc.identifier.scopusqualityQ2
dc.identifier.startpage132
dc.identifier.urihttp://dx.doi.org/10.1016/j.ejogrb.2024.10.031
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13143
dc.identifier.volume303
dc.identifier.wosWOS:001347816200001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorUzun, Asiye
dc.institutionauthorid0000-0001-8322-6643
dc.language.isoen
dc.relation.ispartofEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAdvanced Prolapse
dc.subjectApical Prolapse
dc.subjectLaparoscopic Pectopexy
dc.subjectNon-Absorbable Tucker
dc.subjectPelvic Organ Prolapse
dc.subjectUterine Preserving Surgery
dc.titleEvaluation of the effectiveness of laparoscopic pectopexy in advanced stage apical prolapse
dc.typeArticle

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