Experience
Fifteen sacrouterine tape simulation operations have been successfully
performed. I have not encountered any complications related to the
operation. One bladder perforation due to a concomitant retropubic
mid-urethral sling was resolved by pulling and reinserting the tape. In
one patient, meticulous dissection of the sigmoid colon, intestine and
bladder was performed before tunneling and fixation. Other concomitant
vaginal procedures have included anterior colporrhaphy, posterior
colporrhaphy and perineoplasty. The tape can be inserted into the cervix
in 10–20 minutes and the laparoscopy procedure can be completed in
20–30 minutes. All patients were hospitalized on the operation day,
discharged within 24 hours and managed according to the ERAS protocol of
the clinic. I believe that utilization of the special tunneler, designed
with appropriate angle, rotation and diameter and easy attachment
mechanism, improves the operation time. The median preoperative point C
was +1 and median postoperative point C was -8. The median change from
preoperative point C to postoperative point C was 9 cm (P <
0.01). All patients were followed up at 4 weeks postoperative, and they
all had a Stage 0 Pelvic Organ Prolapse Qantification (POP-Q) score.