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Sacrocolpopexy: Surgical Technique, Outcomes, and Complications

  • Lower Urinary Tract Symptoms & Voiding Dysfunction (H Goldman and G Badlani, Section Editors)
  • Published:
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Abstract

Purpose of Review

Pelvic organ prolapse is a non-life-threatening condition that has a wide variety of symptoms. Sacrocolpopexy has been the “gold standard” for management of apical pelvic organ prolapse with reported high success rates for anatomic correction. Herein, we review the surgical procedure, anatomic, and functional outcomes, as well as the intraoperative and postoperative complications.

Recent Findings

Findings suggest that the ASC has an acceptably low overall complication rate comparable between open and minimally invasive approach. Mesh extrusion and anatomic failure have been shown to increase over time.

Summary

Patient education and counseling are important preoperatively. It is important to discuss with the patient risks of the surgical procedure, specifically mesh-related extrusion, longer term anatomic recurrence rates, rates of functional improvement, or worsening of bladder and bowel symptoms, as well as rates of dyspareunia.

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Authors and Affiliations

  1. Department of Urology, The University of Iowa, 200 Hawkins Dr., 3 RCP, Iowa City, IA, 52242-1089, USA

    Elizabeth B. Takacs & Karl J. Kreder

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  1. Elizabeth B. Takacs
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Correspondence to Karl J. Kreder.

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Elizabeth B. Takacs declares no potential conflicts of interest.

Karl J. Kreder is a consultant for Medtronic, Tengion, and Symptelligence.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Lower Urinary Tract Symptoms & Voiding Dysfunction

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Takacs, E.B., Kreder, K.J. Sacrocolpopexy: Surgical Technique, Outcomes, and Complications. Curr Urol Rep 17, 90 (2016). https://doi.org/10.1007/s11934-016-0643-x

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