Laparoscopic Pectopexy With and Without Mesh Use for Pelvic Organ Prolapse.

Condition(s) studied

Investigational drug(s) / intervention(s)

Meshless Laparoscopic Pectopexy: The vaginal cuff will be fixed to the pectineal ligament with No. 1, non-absorbable Prolene suture.

Laparoscopic Pectopexy with mesh: The vaginal cuff will be fixed to the pectineal ligament with polypropylene mesh.

Study summary

Genital apical prolapse refers to the descent of the vaginal apex, uterus, or cervix, and surgical treatment is required for adequate apical support. Laparoscopic pectopexy is a surgical method developed as an alternative to the gold standard, sacrocolpopexy, in the treatment of genital organ prolapse, especially for obese patients for whom dissection is difficult. The vaginal cuff is attached to the pectineal ligament with polypropylene mesh in the standard technique. The use of mesh is subject to serious restrictions due to complications such as mesh erosion. Surgical methods without using a mesh may be safer treatment options for patients with genital prolapse. This study aimed to compare the results of Laparoscopic Pectopexy surgery with and without the use of mesh material after hysterectomy.

Eligibility

Primary outcome measure(s)

• Apical descensus relapse rate — 12 months after surgery
  The ratio of women with stage 2 or greater vaginal cuff prolapse according to the Pelvic Organ Prolapse Quantification (POP-Q) system.

Trial sites (1)

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