Treatment of Genital Prolapse by Laparoscopic Lateral Suspension Using Mesh: A Series of 73 Patients

Study Objective To evaluate the efficacy of laparoscopic lateral suspension using mesh in patients with pelvic organ prolapse (POP). Design A prospective cohort study (Canadian Task Force classification II-2). Setting A tertiary referral center for operative laparoscopy. Patients In all, 73 patients with POP were assessed in the preoperative and postoperative stages. The assessment included a description of their functional symptoms and the degree of their POP condition, established according to the Baden-Walker prolapse classification system. The patients were followed in the postoperative stage for a median of 19 (range 12–41) months. Interventions Laparoscopic lateral suspension of pelvic organs using mesh carried out from January 2004 through September 2006. Measurements and Main Results Satisfactory anatomic results were obtained in 64 (87.7%) patients. Neither major complications, nor postoperative pelvic infection were reported. None of the operations required laparotomy. Conclusion Laparoscopic lateral suspension using mesh effectively treats POP with low morbidity.