The following is a summary of “Total Autologous Fascia Lata Sacrocolpopexy for Treatment of Pelvic Organ Prolapse: Experience in Thirty-Four Patients” published in the December 2022 issue of Urology by Patel et al.
For a study, researchers sought to create an approach for autologous fascia lata autograft-based open/robotic sacrocolpopexy. They discussed their 34 initial patients’ experiences.
A 3–4-inch lateral upper thigh incision was used to harvest a fascia lata portion that measures 4-5 cm x 15–18 cm for the procedure. To accomplish sacrocolpopexy, the graft was set up using CV-2 Goretex sutures in the standard Y shape. POP-Q scores, history, and physical examinations, and symptoms of thigh harvest, such as visual analog pain (VAP) ratings, were used to monitor the patients. Symptomatic pelvic organ prolapse (POP) with apical descent was deemed a treatment failure.
A 62-year-old mean age was used to conduct 34 patients with autologous fascia lata sacrocolpopexies. About 13 months was the mean follow-up (range 2-42). There were 21 robotic sacrocolpopexies and 13 open procedures. Hysterectomy (9), vaginal mesh excision (7), bowel resection and rectopexy (5), and autologous sling (5) were among the surgeries carried out simultaneously. There were no treatment failures, and all 34 patients had their POP symptoms go away. Most harvest site problems were rather small and were successfully addressed. The harvest site’s median VAP score was 0.4 (range 0-3). Non-bothersome thigh bulges appeared in three cases. A harvest site seroma occurred in one case. Twelve individuals had little, unbothered paresthesias at the harvest site. Nothing thromboembolic happened.
For individuals who chose non-mesh POP repair, autologous fascia lata sacrocolpopexy was an effective procedure. Most harvest site problems were modest and frequently got well with only patient treatment. To ascertain the operation’s long-term success, regular follow-ups on the series should be conducted.