Comparaison des complications et des résultats fonctionnels après double promontofixation cœlioscopique par agrafage ou suture de la prothèse postérieure pour la cure du prolapsus génital Comparison of morbidity and functional results of suture or staplin of the posterior mesh during laparoscopic promontofixation in the cure of genital prolapse

Objective: To compare the morbidity and functional results after laparoscopic promontofixation for the cure of genital prolapse according to the type of fixation of the posterior mesh. Patients and method: FromMarch 2001 to January 2009, 89 patients with genital prolapse of grade 2 (POP-Q classification) were operated on by laparoscopy including 47 patients with the suture of the posterior mesh (group suture) and 39 patients with stapling (group staples). Complications per-, postoperative, and patient satisfaction were assessed. Results: Except for the mean parity that was higher in the group staples, no difference was found between the groups in the mean age, prior surgery, and genital prolapse stage. Operating time was shorter in the group staples (p = 0.005). No difference was found between the groups in the rate of intraand postoperative complications. Hospital stay was shorter for the group staples (p = 0.007). No difference between the groups was found in de novo symptoms and satisfaction, as well as in functional results. Conclusion: Our results support that stapling of the posterior mesh for the laparoscopic promontofixation is associated with decrease in operating time and hospital stay compared to the suture without affecting functional results.