Abstract

Here we introduce a laparoscopic sacrohysteropexy plus bladder patch procedure as a useful operative procedure for POP patients who desire uterine preservation. A 62-year-old woman, gravida 2 para 2 with pelvic organ prolapse quantification (POP-Q) stage III of uterine prolapse and stage II of cystocele, came to our hospital and desired a POP operation with uterine preservation. She underwent laparoscopic single mesh sacrohysteropexy. A 4-port diamond-shaped approach was used. A 3cm-wide polypropylene mesh was fixed to the anterior longitudinal ligament on the sacral promontory, Levator ani, andthe posterior uterine cervix. The bladder was dissected and a triangular shaped mesh (4 × 5 cm) was placed from the most distal portion of the vagina to the uterine cervix. The operation time was 150 min. Blood loss was 10 ml. One year after the operation, there were no complications, no symptoms, and a good anatomical outcome was confirmed.

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