Comparison of the use of different accesses for sacrocolpopexy in women with apical prolapse: A literature review

Abstract

Interest in the issue of genital prolapse is increasing worldwide. The prevalence varies across countries and is higher in resource-limited ones. In countries where systematic statistics are available, the prevalence of pelvic organ prolapse ranges from 3 to 50%. Conservative and surgical methods for correcting this issue are extensively covered in Russian and foreign literature. Sacrocolpopexy is one of these methods, which is commonly used to correct apical prolapse. This review aimed to compare and evaluate the outcomes of abdominal, robotic, and laparoscopic accesses for performing this surgical procedure and assess the advantages and disadvantages of each method. Each surgical approach is analyzed regarding the incidence of postoperative complications, surgical duration, and satisfaction of patients with their quality of life in the postoperative period. Pelvic organ prolapse is an increasingly pressing issue, given the increase in life expectancy and its earlier detection. According to statistical projections, by 2050, 9.2 million women worldwide will have this disease.

Keywords

apical prolapse / mesh-associated complications / robot-assisted surgery / sacrocolpopexy

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