Pregnancy Results After Laparoscopic Lateral Suspension Surgery

Background : This case series aims to investigate pregnancy results and pelvic organ prolapse (POP) recurrence after uterus-sparing laparoscopic lateral suspension (LLS) in fertility-seeking prolapse patients. Methods : This is a single-center retrospective patient data review study. Between 2019 and 2022, 125 patients underwent LLS, and 20 of 73 patients of reproductive age underwent simultaneous bilateral tubal ligation (BTL). Pregnancy occurred in 11 of the remaining 53 patients, and the data of these women were analyzed. Data were obtained from the medical records of patients who underwent LLS and became pregnant after surgery. Results : A total of eleven women experienced a postoperative pregnancy, with one resulting in spontaneous abortion. Ten women proceeded with their pregnancies, and two resulted in premature delivery. All other babies exhibited a weight commensurate with their gestational age. The patients were offered an elective cesarean section in order to preserve the anatomical results of prolapse surgery. All deliveries were conducted via cesarean section, and no intraoperative complications were encountered during the incisions. The evaluations conducted at the three- and six-month follow-up visits following LLS were documented. One patient exhibited a recurrence of apical prolapse. Conclusion : Patients with future fertility and symptomatic advanced pelvic organ prolapse (POP) represent an appropriate cohort for laparoscopic lateral suspension (LLS). The results of our study demonstrate the feasibility of LLS as an effective surgical technique. This procedure can be employed to treat patients with symptomatic pelvic organ prolapse while preserving fertility in young women.