Satisfaction and quality of life assessment following laparoscopic sacrocolpopexy for pelvic organ prolapse - 16-year experience.

INTRODUCTION

Pelvic organ prolapse (POP) can be managed conservatively; however, surgical treatment may be required in some cases. Laparoscopic sacrocolpopexy is considered the gold standard procedure, yet long-term data on patient satisfaction and quality of life remain limited. This study aimed to evaluate long-term satisfaction and quality of life outcomes in patients undergoing laparoscopic sacrocolpopexy.

METHODS

Patients who underwent laparoscopic sacrocolpopexy between 2000 and 2016 were invited to complete the validated French version of the Prolapse Quality of Life questionnaire and a self-assessment questionnaire. Preoperative and postoperative data up to one year after surgery were retrieved from medical records.

RESULTS

Among patients with available contact information, 45.00% responded, with a mean follow-up of 16.32±4.98 years. Only 29.85% reported POP-related symptoms, and overall satisfaction reached 68.66%. Most Prolapse Quality of Life scores were below 50, indicating a low impact of POP on daily life. In terms of symptom impact, 34.33% of patients reported that constipation affected them a lot, followed by urge incontinence 26.87%, stress urinary incontinence 16.42%, and voiding difficulties 8.96%.

CONCLUSIONS

Laparoscopic sacrocolpopexy provides durable functional results, with patients maintaining a good quality of life despite persistent POP symptoms. Although some bowel or urinary symptoms remain, overall satisfaction is high, confirming this procedure as a reliable long-term solution for POP management.