Laparoscopic sacral colpopexy versus total vaginal mesh for vault prolapse; comparison of cohorts

Table 2 Peri- and postoperative data

Variable	LSC (n = 45)	TVM (n = 52)	p value
(Concomitant) surgery^a	2 (4 %)	1 (2 %)	0.35
TVT-O	0	1 (2 %)	0.54
Laparoscopic adhesiolysis	1 (2 %)	0	0.46
Laparoscopic aspiration pseudocysts	1 (2 %)	0	0.46
Spinal analgesia^a	0	33 (63 %)	<0.001
Operating time (min)^b	120 (60–240)	70 (44–110)	<0.001
Blood loss (ml)^b	50 (10–100)	100 (50–1,300)	<0.001
Duration urinary catheter (days)^b	1 (1)	2 (1–10)	<0.001
Hospital stay (days)^b	2 (0–5)	3 (0–8)	<0.001
Complications^a
Blood loss > 500 ml	0 (0 %)	1 (2 %)	0.54
Bladder perforation	0 (0 %)	1 (2 %)	0.54
Repeat surgery for postoperative hemorrhage	0 (0 %)	1 (2 %)	0.54
Hematoma	0 (0 %)	2 (4 %)	0.28
Temporary urinary retention	0 (0 %)	10 (19 %)	0.001
Conversion laparotomy due to injury ileum	1 (2 %)	0 (0 %)	0.46
Temporary neurologic complaints caused by irritation left lumbar plexus	1 (2 %)	0 (0 %)	0.46
Outcome/complications at follow-up 6 months^a
Cumulative mesh exposure	1 (2 %)	4 (8 %)	0.19
Re-treatment for POP	2 (4 %)	0 (0 %)	0.21
Pain (lower abdomen/genital area)
Baseline	9/43 (21 %)	11/44 (25 %)	0.65
At 6 months	1/40 (3 %)	1/45 (2 %)	0.50
De novo pain	0 (0 %)	0 (0 %)	0.99
Dyspareunia
Baseline	3/18 (17 %)	4/17 (24 %)	0.29
At 6 months	3/21 (14 %)	3/18 (17 %)	0.33
De novo dyspareunia	2/18 (11 %)	1/17 (6 %)	0.40
Stress urinary incontinence
Baseline	3/43 (7 %)	11/45 (24 %)	0.02
At 6 months	3/41 (7 %)	5/46 (11 %)	0.25
De novo stress urinary incontinence	2/41 (5 %)	2/41 (5 %)	0.38

TVT tension free vaginal tape—obturator system, POP pelvic organ prolapse, LSC laparoscopic sacral colpopexy, TVM total vaginal mesh
^aData presented as number of patients (in percent), and p value calculated with Chi-square test and the Fisher exact test in case of small numbers
^bData presented as median (range), and p value calculated with Mann–Whitney U test