Laparoscopic uterosacral ligament suspension versus sacrospinous ligament fixation for apical prolapse: perioperative outcomes

Abstract Background Pelvic organ prolapse can be repaired vaginally or laparoscopically. Studies comparing vaginal repair with sacrospinous ligament fixation (SSLF) uterosacral suspension (V-USLS) have found no difference in functional adverse outcomes. Laparoscopic USLS (L-USLS) is becoming a popular treatment for pelvic because it has low rate of ureteral compromise. To date, studies compared perioperative outcomes between L-USLS and SSLF. The objective this study to compare the rates complications these two methods. Methods This was retrospective chart review 243 consecutive patients who underwent SSLF at one institution March 2017 August 2019 apical prolapse. Descriptive data analyzed as appropriate Student’s t tests chi-square. Univariable logistic regression analysis performed assess predictors complications. Results Preoperative Organ Prolapse Quantification Stage (POP-Q) similar cohorts ( p = 0.23). After adjusting confounding factors, associated longer operative time (118 vs 142 min, < 0.01) shorter length hospitalization (0.68 1.06 days, 0.01). estimated blood loss procedures not statistically significant after factors. There complication (5% 7%, 0.55). No clinical risk factors were significantly Conclusion We did find