Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fixation: a comparative study

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dc.authoridsariibrahim astepe, bahar/0000-0002-9012-4802
dc.authoridTerzi, Hasan/0000-0001-6495-9710
dc.authorwosidköleli, ışıl/ABI-7318-2020
dc.contributor.authorAstepe, Bahar Sariibrahim
dc.contributor.authorKarsli, Aybike
dc.contributor.authorKoleli, Isil
dc.contributor.authorAksakal, Orhan Seyfi
dc.contributor.authorTerzi, Hasan
dc.contributor.authorKale, Ahmet
dc.date.accessioned2024-08-04T20:46:49Z
dc.date.available2024-08-04T20:46:49Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: To compare the intermediate-term follow-up results of laparoscopic pectopexy and vaginal sacrospinous fixation procedures. Materials and Methods: Forty-three women who had vaginal sacrospinous fixations(SSF) using Dr. Aksakal's Desta suture carrier and 36 women who had laparoscopic pectopexies were re-examined 7 to 43 months after surgery. The PISQ-12 and P-QOL questionnaires were answered by all of the women. Results: The apical descensus relapse rates did not differ between the groups (14% in the SSF vs. 11.1% in the pectopexy group). The de novo cystocele rates were higher in the SSF group (25.6% in the SSF vs. 8.3% in the pectopexy group). There were no significant differences in the de novo rectocele numbers between the groups. The treatment satisfaction rates were high in both groups (93% in the SSF vs. 91.7% in the pectopexy group), which was not statistically significant. Moreover, the postoperative de novo urge and stress urinary incontinence rates did not differ; however, the postoperative sexual function scores (PISQ-12) (36.86 +/- 3.15 in the SSF group vs. 38.21 +/- 5.69 in the pectopexy group) were better in the pectopexy group. The general P-QOL scores were not significantly different between the surgery groups. Conclusion: The vaginal sacrospinous fixation maintains its value in prolapse surgery with the increasing importance of native tissue repair. The new laparoscopic pectopexy technique has comparable positive follow-up results with the conventional sacrospinous fixation procedure.en_US
dc.identifier.doi10.1590/S1677-5538.IBJU.2019.0103
dc.identifier.endpage1007en_US
dc.identifier.issn1677-5538
dc.identifier.issn1677-6119
dc.identifier.issue5en_US
dc.identifier.pmid31408288en_US
dc.identifier.scopus2-s2.0-85073581795en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage999en_US
dc.identifier.urihttps://doi.org/10.1590/S1677-5538.IBJU.2019.0103
dc.identifier.urihttps://hdl.handle.net/11616/98982
dc.identifier.volume45en_US
dc.identifier.wosWOS:000490558300018en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBrazilian Soc Urolen_US
dc.relation.ispartofInternational Braz J Urolen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPelvic Organ Prolapseen_US
dc.subjectHand-Assisted Laparoscopyen_US
dc.subjectTreatment Outcomeen_US
dc.titleIntermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fixation: a comparative studyen_US
dc.typeArticleen_US

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