A.G. TYAN², E.V. SLUKHANYCHUK², I.A. LAPINA¹, V.V. TARANOV¹, A.V. SURTAEVA², V.A. KOPEYKO³

 ¹Pirogov Russian National Research Medical University, Moscow

²MEDSI Group JSC, Moscow

³Russian University of Medicine, Moscow

 Contact details:

Taranov V.V. — PhD (Medicine), Assistant Lecturer of the Department of Obstetrics and Gynecology

Address: 1 Ostrovityanova Str., 117997 Moscow, Russian Federation, tel.: +7-968-814-70-92, e-mail: doctortaranov@yandex.ru

Various surgical methods for genital prolapse treatment allow eliminating the clinical symptoms and improve the quality of life of patients in most cases; however, a universal correction method that would reduce the number of controversial urogynecological issues is not found yet.

The purpose — a comparative evaluation of the results of apical genital prolapse surgical treatment using isolated laparoscopic pectopexy and its combination with posterior colpoperineorrhaphy.

Material and methods. We performed a comparative analysis of the results of treating apical genital prolapse using laparoscopic pectopexy with and without posterior colpoperineorrhaphy. The first group of patients underwent laparoscopic pectopexy (n = 24); the second group underwent laparoscopic pectopexy with posterior colporrhaphy and perineorrhaphy (n = 25).

Results. During the 1-year postoperative follow-up, it was noted that laparoscopic pectopexy with posterior colporrhaphy demonstrated better anatomical results than isolated pectopexy (frequency of rectocele stage II and above: n = 3 in the first group, 12.5%; n = 1 in the second group, 4%, p < 0.05). Patients in the second group had a higher frequency of postoperative complications (frequency of perineal hematoma: n = 0 in the first group, n = 2 (8%) in the second group).

Conclusion. Laparoscopic pectopexy is a safe and effective method of correcting apical genital prolapse, while its combination with posterior colporrhaphy reduces the risk of rectocele recurrence and improves the quality of life of patients.

Key words: apical prolapse, laparoscopic pectopexy, posterior colporrhaphy, sexual dysfunction.

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