Department of Obstetrics and Gynecology, Alexandria University, Alexandria, Egypt
Research
Comparison of Vaginally Assisted Laparoscopic Lateral Suspension and Transvaginal Sacrospinous Ligament Fixation for Apical Pelvic Organ Prolapse: A Multicentre Randomized Clinical Trial
Author(s): Hossam Abdou, Fady M. Shawky Moiety, Hend Elhossary, Sabah Shaban Elsayed, Wafaa B. Basta and Mohamed Adel Kamal Eldin*
Background and Objectives: Apical pelvic organ prolapse (POP) is a clinically important pelvic floor disorder associated with pelvic pressure, urinary symptoms, bowel symptoms, sexual dysfunction, reduced self-image and impaired quality of life. Surgical correction aims to restore apical support, reduce recurrence and preserve vaginal and sexual function. Vaginally assisted laparoscopic lateral suspension (LLS) and transvaginal sacrospinous ligament fixation (SSLF) are established reconstructive approaches, but direct comparative randomized evidence remains limited. This study compared perioperative, anatomical and patient-reported outcomes after LLS versus SSLF in women with symptomatic apical POP.
Materials and Methods: This multicentre randomized interventional clinical trial included 80 women with symptomatic apical POP stage >=2 according to the Pelvic Organ Prolapse Quantification.. Read More»