Laparoscopic Sacro-servicopexy Procedure for Uterovaginal Prolapse in Woman Wishing Uterine Preservation

Though pelvic organ prolapse is usually encountered during climacteric and postmenopausal years, it may sometimes be seen in young woman who desire to retain their fertility. In addition to conventional transvaginal and tranabdominal approaches, laparoscopic procedures are now widely being used in pelvic floor surgery. We presented six patients with symptomatic uterovaginal prolapse managed with laparoscopic sacro-cervicopexy. The mean operation time is 89 (80-100) minutes. All these patients were discharged from hospital in the first postoperative day and the blood loss was lower than 100 ml in all patients. The complication did not occur in all patients and no objective evidence of recurrent genital prolapse was found in all patients with follow up of 644 months. Two years after this operation in a patient whom delivered with sectio, no objective evidence of recurrent genital prolapse was found in a patient with follow up of 28 months after than sectio. We feel that laparoscopic sacro-cervicopexy is a good alternative in patients with pelvic prolapse who desire to retain their fertility since it avoids the need for a laparotomy and does not disturb the cervical anatomy.