Efficacy of mesh bilaterally sacrospinous ligament suspension versus laparoscopic sacrocolpopexy in patients with uterine prolapse

Objective: The aim in this study was to evaluate the efficacy of mesh bilaterally sacrospinous ligament suspension (MSSLS), as compared with laparoscopic sacrocolpopexy (LSC) in patients with uterine prolapse. Methods: Our study evaluated 98 patients with uterine prolapse in our hospital from January 2021 to January 2023. Patients enrolled were equally divided into the study group (treated with MSSLS operation) and the control group (treated with LSC operation) by random number table. The operation conditions (including operation time, bleeding volume, indwelling catheter time, exhaust time, and hospital stay), stage of pelvic organ prolapse, postoperative recurrence rate, pain degree, quality of life, postoperative pelvic floor function, impact of sexual life, complications and recurrence rate were recorded. Results: The study group demonstrated a marked reduction in the operation time, bleeding volume, indwelling catheter time, exhaust time and hospital stay when comparing with the control group (P  0.05), while six months after operation, the five indexes in the study group were significantly lower than those in the control group (P  0.05), while was evidently lower in the study group than control group 6 months after operation (P  0.05). All patients were followed up for 12–14 months, with an average follow-up time of (13.02 ± 1.36) months. The incidence of complications in the study group was significantly lower than the control group (P  0.05). Conclusion: MSSLS is a safe and effective treatment for uterine prolapse that significantly avoided complications and recurrence, which is believed available for wide application in clinical practice.