ABSTRACT
Laparoscopic pectopexy, facilitated by a cervical cerclage tape for the suspension of the vaginal vault, presents a feasible alternative to mesh sacrocolpopexy for the management of POP.
Keywords: laparoscopy, native tissue repair, pectopexy, pelvic organ prolapse
Pelvic organ prolapse (POP) represents a prevalent clinical condition with multiple clinical and psychological sequelae [1]. Anterior vaginal wall suspension to the pectineal ligament with mesh (pectopexy) is commonly performed when access to the promontory is challenging [2]. Video 1 illustrates the case of a 56‐year‐old woman with a post‐hysterectomy stage 3 apical prolapse alongside a stage 2 cystocele, managed with a new technique of laparoscopic pectopexy using a permanent cervical cerclage tape to suspend the vagina to the iliopectineal ligament. The tape was sutured to the vaginal wall over a reinforced anterior fascia after native tissue correction of the cystocele to reduce the attachment surface of the synthetic material to the vagina.
VIDEO 1.
The video presenting an alternative technique for laparoscopic pectopexy without using a mesh, combined with laparoscopic native tissue correction of anterior and posterior defects. Video content can be viewed at https://onlinelibrary.wiley.com/doi/10.1002/ccr3.70364
Question
Is there an alternative method to mesh sacrocolpopexy for the management of Pelvic Organ Prolapse?
Author Contributions
Athanasios Protopapas: conceptualization, methodology. Nikolaos Kathopoulis: writing – original draft. Athanasios Douligeris: supervision, validation. Ioannis Chatzipapas: writing – review and editing. Themos Grigoriadis: methodology, supervision. Dimitrios Zacharakis: conceptualization, data curation. Konstantinos Kypriotis: conceptualization, resources.
Ethics Statement
The method presented is exempt from institutional review board approval, as a common surgical step.
Consent
Written informed consent was obtained from the patient to publish this report in accordance with the journal's patient consent policy.
Conflicts of Interest
The authors declare no conflicts of interest.
Acknowledgments
The authors have nothing to report.
Funding: The authors received no specific funding for this work.
Data Availability Statement
Data are available upon request.
References
- 1. La Rosa V. L., Ciebiera M., Lin L. T., et al., “Multidisciplinary Management of Women With Pelvic Organ Prolapse, Urinary Incontinence and Lower Urinary Tract Symptoms. A Clinical and Psychological Overview,” Przeglad Menopauzalny 18, no. 3 (2019): 184–190. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2. Billone V., Gullo G., Perino G., et al., “Robotic Versus Mini‐Laparoscopic Colposacropexy to Treat Pelvic Organ Prolapse: A Retrospective Observational Cohort Study and a Medicolegal Perspective,” Journal of Clinical Medicine 13, no. 16 (2024): 4802. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
Data are available upon request.