Juan Liu1, Jaden Kohn2, Huaying Fu1, Zhenkun Guan1, Xiaoming Guan3. 1. Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China, (Drs. Liu, Fu, X. Guan and Zhenkun Guan). 2. Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas (Drs. Kohn and X. Guan). 3. Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China, (Drs. Liu, Fu, X. Guan and Zhenkun Guan); Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas (Drs. Kohn and X. Guan). Electronic address: xiaoming@bcm.edu.
Abstract
STUDY OBJECTIVE: To describe the surgical technique and short-term outcomes for 26 cases of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) sacrocolpopexy for the treatment of pelvic organ prolapse (POP). DESIGN: Retrospective case series study (Canadian Task Force classification II-2). SETTING: Academic tertiary care university hospital in Guangdong, China. PATIENTS: Women diagnosed with stages II to IV POP between May 2017 and May 2018. INTERVENTIONS: vNOTES sacrocolpopexy. MEASUREMENTS AND MAIN RESULTS: A total of 26 patients were identified. vNOTES sacrocolpopexy was standardized after case 4, and 23 cases were completed successfully. Operative duration was a median of 184 minutes (interquartile range, 158.5-202.5), and mean estimated blood loss was 30.87 ± 20.8 mL. Mean pre- and postoperative POP Quantification System scores for the Aa point were, respectively, 1.4 ± 1.7 cm (range, -2 to 3) versus -1.85 ± .6 cm (p <.0001) and for the C point were 2.2 ± 1.9 cm (range, -1 to 5) versus -6.1± .7 cm (p <.0001). Mean pre- and postoperative Pelvic Floor Impact Questionnaire scores were 163.1 ± 46.2 versus 18.4 ± 29.3 (p <.0001). These suggest significant improvements in both physical prolapse and quality of life at 1 month after surgery. There were no complications of mesh exposure, pain, hematoma, infection, or new urinary incontinence. CONCLUSION: vNOTES is a feasible approach for sacrocolpopexy, with promising short-term efficacy and safety data. Larger studies across multiple sites and surgeons should evaluate the long-term efficacy and safety profile of vNOTES sacrocolpopexy.
STUDY OBJECTIVE: To describe the surgical technique and short-term outcomes for 26 cases of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) sacrocolpopexy for the treatment of pelvic organ prolapse (POP). DESIGN: Retrospective case series study (Canadian Task Force classification II-2). SETTING: Academic tertiary care university hospital in Guangdong, China. PATIENTS: Women diagnosed with stages II to IV POP between May 2017 and May 2018. INTERVENTIONS: vNOTES sacrocolpopexy. MEASUREMENTS AND MAIN RESULTS: A total of 26 patients were identified. vNOTES sacrocolpopexy was standardized after case 4, and 23 cases were completed successfully. Operative duration was a median of 184 minutes (interquartile range, 158.5-202.5), and mean estimated blood loss was 30.87 ± 20.8 mL. Mean pre- and postoperative POP Quantification System scores for the Aa point were, respectively, 1.4 ± 1.7 cm (range, -2 to 3) versus -1.85 ± .6 cm (p <.0001) and for the C point were 2.2 ± 1.9 cm (range, -1 to 5) versus -6.1± .7 cm (p <.0001). Mean pre- and postoperative Pelvic Floor Impact Questionnaire scores were 163.1 ± 46.2 versus 18.4 ± 29.3 (p <.0001). These suggest significant improvements in both physical prolapse and quality of life at 1 month after surgery. There were no complications of mesh exposure, pain, hematoma, infection, or new urinary incontinence. CONCLUSION: vNOTES is a feasible approach for sacrocolpopexy, with promising short-term efficacy and safety data. Larger studies across multiple sites and surgeons should evaluate the long-term efficacy and safety profile of vNOTES sacrocolpopexy.