Laparoscopic sacrocervicopexy for the treatment of uterine prolapse: a retrospective case series report.

STUDY OBJECTIVE: To evaluate apical support in patients desiring uterine preservation with pelvic organ prolapse who underwent laparoscopic sacrocervicopexy. DESIGN: Retrospective case series report (Canadian Task Force classification III). SETTING: Academic community teaching hospital. PATIENTS: Forty consecutive women who underwent laparoscopic sacrocervicopexy. INTERVENTIONS: Synthetic mesh was used to attach the distal uterosacral ligaments and posterior endopelvic fascia to the anterior longitudinal ligament of the sacral promontory. MEASUREMENTS AND MAIN RESULTS: Pelvic organ prolapse quantification system measurements were used and apical support was evaluated using point C. Mean C was -1.13 (+9 to -4) preoperatively, -5.28 (-3 to -13) at 6 weeks postoperatively, -5.26 (-3 to -8) at 6 months postoperatively, and -4.84 (-3 to -7) at 1 year postoperatively. CONCLUSION: Laparoscopic sacrocervicopexy is an effective option for women with pelvic organ prolapse who desire uterine preservation.