Meta-analysis of the efficacy of laparoscopic uterosacral ligament suspension in patients with pelvic organ prolapse

Hongge Xu; Hongyan Ding; Can Shi; Qianqian Ge

doi:10.1016/j.jogoh.2023.102634

Meta-analysis of the efficacy of laparoscopic uterosacral ligament suspension in patients with pelvic organ prolapse

J Gynecol Obstet Hum Reprod. 2023 Dec;52(10):102634. doi: 10.1016/j.jogoh.2023.102634. Epub 2023 Jul 26.

Authors

Hongge Xu¹, Hongyan Ding², Can Shi¹, Qianqian Ge¹

Affiliations

¹ Department of Gynecology, The Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University, Huai'an, Jiangsu 223300, China.
² Department of Gynecology, The Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University, Huai'an, Jiangsu 223300, China. Electronic address: hongyandingdd@outlook.com.

PMID: 37500012
DOI: 10.1016/j.jogoh.2023.102634

Abstract

Objective: This study aimed to evaluate the efficacy of laparoscopic uterosacral ligament suspension (LUSLS) for pelvic organ prolapse (POP) using a meta-analysis method.

Methods: All articles about LUSLS published in English from Jan. 2010 to Jan. 2020 were retrieved using a computer from search engines, including PubMed, EMbase, Cochrane Library, CNKI, Wanfang, VIP, and Chinese Medical Journals. Meta-analysis was performed by two evaluators using RevMan 5.3 software according to the inclusion criteria.

Results: A total of five studies were finally included, with 361 LUSLS cases and 361 control cases. LUSLS group showed a shorter operation duration (SMD-1.96; 95% CI = -3.90- -0.03; P = 0.05), more POP-quantification system (Q) (I) (SMD1.64; 95% CI = 1.05-2.56; P = 0.03), than the control group, with significant differences. There was no difference in the complication incidence, hospital stay, POP-Q>=II between the 2 groups (P > 0.05).

Conclusion: LUSLS was a safe and effective treatment for POP. Patients had higher postoperative satisfaction, shorter operation duration and satisfactory outcome. More high-quality randomized controlled trials are required in the future to make the results of the meta-analysis more accurate.

Keywords: Laparoscopic transvaginal uterosacral ligament suspension; Meta-analysis; Pelvic organ prolapse.

Publication types

Meta-Analysis

MeSH terms

Female
Gynecologic Surgical Procedures / methods
Humans
Laparoscopy* / methods
Ligaments / surgery
Pelvic Organ Prolapse* / surgery
Retrospective Studies