Description:
<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>To assess anatomic outcome and quality of life (<jats:styled-content style="fixed-case">QOL</jats:styled-content>) after vaginal sacrocolporectopexy among patients with pelvic organ prolapse.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A noncomparative observational study was conducted at Hanover Medical School, Germany, among patients who underwent vaginal sacrocolporectopexy for uterine or vaginal vault prolapse between May 1, 2006, and October 31, 2012. A validated German version of the Prolapse <jats:styled-content style="fixed-case">QOL</jats:styled-content> (P‐<jats:styled-content style="fixed-case">QOL</jats:styled-content>) questionnaire was sent to eligible patients; respondents were invited for follow‐up examination.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Overall, 128 patients were enrolled. Concomitant hysterectomy was performed among 82 (64.1%) patients, anterior colporrhaphy among 105 (82.0%), and posterior colporrhaphy among 58 (45.3%). After a mean interval of 26.5 months (range 1.0–81.3 months), seven patients exhibited recurrent vaginal vault prolapse of at least stage 2, giving a success rate of 92.3% (95% confidence interval 85.9%–96.5%). The P‐<jats:styled-content style="fixed-case">QOL</jats:styled-content> scores were either low (<40) or very low (<20), indicating high <jats:styled-content style="fixed-case">QOL</jats:styled-content>. Regarding symptoms related to pelvic organ prolapse, patients reported little or no impact on <jats:styled-content style="fixed-case">QOL</jats:styled-content> after vaginal sacrocolporectopexy.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Vaginal sacrocolporectopexy seemed safe and feasible, leading to anatomically correct fixation of the vaginal apex, high anatomic success rates, and good <jats:styled-content style="fixed-case">QOL</jats:styled-content>. This procedure might be considered as an alternative to laparoscopic or abdominal sacrocolpopexy.</jats:p></jats:sec>