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Sacrocolpopexy (SCP) - A Cohort Study Looking at Short, Medium and Long Term Outcome

Veenu Tyagi, Robert Hawthorn and Karen Guerrero

In this study we evaluate the outcome, complications and need for repeat surgery after Sacrocolpopexy (SCP) over the last 10 years. 49 (66%) case notes were reviewed. 28 (57%) patients SCP. The remainder had concomitant pelvic floor and / or incontinence procedures. 12 patients had laparoscopic SCP and 37 were performed by open technique. 8(16%) patients’ required further surgery either for new prolapse or recurrent prolapse. The short term success with sacrocolpopexy was high (97.9%) with the rate being maintained with medium term (100%) and long term (91.66%) follow up. Rates of complication, especially mesh exposure, was very low in our study. This suggests maintaining the integrity of vaginal vault during SCP might be a key factor in reducing the incidence of mesh exposure with SCP. However large numbers in long term follow up is needed to make any definite conclusion. Sacrocolpopexy (SCP) - A cohort study looking at short, medium and long term outcome.