Does sacrocolpopexy present heterogeneity in its surgical technique? A systematic review

Neurourology and Urodynamics
Rafael M MoroniLuiz G O Brito

Abstract

Sacrocolpopexy (SCP) is an extensively studied and highly efficacious treatment for female pelvic organ prolapse (POP). We aimed to analyze the technical steps for performance of a SCP among all RCTs in the literature that compared it with different procedures, or that studied different routes for performing SCP. Systematic review searching electronic databases for RCTs only. We extracted data for 13 points of interest; main outcomes were procedure standardization; depth of vaginal dissection; number of sutures in the vaginal wall; type of suture in the vaginal wall; type of mesh fixation to the sacrum; and type and shape of mesh used. Twenty-two RCTs were included. Most of them did not provide a full standardized description of the procedure steps. There was great heterogeneity in almost all steps of the operation, including the choice of materials for attaching the mesh to the vagina and sacrum-with both absorbable and non-absorbable sutures being used-and the extent of vaginal dissection for mesh fixation, with some studies dissecting only the apex, superficially, while others performed a full-length dissection. Choice of mesh material was more consensual, with polypropylene mesh being the most commonly used. SCP is a highly...Continue Reading

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Citations

Mar 31, 2020·International Urogynecology Journal·Ehud GrinsteinBruno Deval
Sep 13, 2020·International Urogynecology Journal·Christie RebahiThibault Thubert
Sep 25, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Valeria TagliaferriMaurizio Guido
Jan 1, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ohad GluckBruno Deval
Nov 5, 2020·Journal of Minimally Invasive Gynecology·Daniela UlrichThomas Aigmüller
Feb 4, 2021·Female Pelvic Medicine & Reconstructive Surgery·Abby M StorkHalina M Zyczynski
Dec 1, 2021·Archives of Gynecology and Obstetrics·Nadja TrageserChristian Eichler
Nov 12, 2021·Journal of Minimally Invasive Gynecology·Anna PadoaNoam Smorgick
Jan 29, 2022·International Urogynecology Journal·Auran Rosanne B CortesMika Nagae

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