ABSTRACT

Aim: To judge the results of sacrocolpopexy with synthetic Prolene mesh for the management of patients of vaginal vault prolapse.

Design: Prospective observational study.

Settings: The study was conducted in Lady Willingdon Hospital, Lahore from June 2012 to May 2015. Twenty-four women with vault prolapse were included.

Methods: The surgical technique used in abdominal sacrocolpopexy was described as: the one end of synthetic Prolene mesh was attached to the vault and the other end to the anterior longitudinal ligament of the first or second sacral vertebra and there should be no tension on this mesh. The patients were asked about improvement in their subjective and objective cure of vault prolapse symptoms. Their operative and postop complications were noted.

Results: Twenty-four women with vault prolapse were identified. Majority of the women were in the age group 51-60 years. Regarding marital status and parity, all were married and belonged to parity P5-9. In all patients, abdominal sacrocolpopexy wasperformed using Prolene synthetic mesh in a tension free fashion. Intraoperative and postoperative complications were not observed for the said procedure. At the time of discharge, patients were asked about improvement in symptoms and physical examination was performed and none of the patients had anyvault prolapse or its symptoms.

Conclusion: This procedure helps in the maintenance of anatomy and normal axis of the female reproductive tract and it has no interference with the sexual function. The success rate of abdominal sacrocolpopexy is best and complications of the procedure are less.

Keywords: Vault prolapsed, sacroplexy, synthetic mesh