Integral Perineal Sacrocolpopexy: Expanding Surgical Options for Complex Pelvic Organ Prolapse.

Cohort studyArchivos espanoles de urologia· Jun 2026

Integral Perineal Sacrocolpopexy: Expanding Surgical Options for Complex Pelvic Organ Prolapse.

Rui Pedrosa, Lexie Carmona, Javier Casado … Luis López-Fando

Read paper

UrogynecologyCohort studyQ3IF 1.1

Integral Perineal Sacrocolpopexy achieved anatomical success in all patients through 48-month follow-up.

Integral Perineal Sacrocolpopexy: Expanding Surgical Options for Complex Pelvic Organ Prolapse.

Rui Pedrosa … Luis López-Fando

Archivos espanoles de urologia · Jun 2026 · Q3 in General Medicine

Background

Sacrocolpopexy is the gold standard for multicompartimental pelvic organ prolapse (prolapse).

Methods

In addition to describing the Integral Perineal Sacrocolpopexy technique, we prospectively analyzed a case series of 15 patients with prolapse and magnetic resonance imaging (magnetic resonance imaging)-confirmed perineal descent, treated between October 2018 and January 2024.

n = 15 patients

48

Results

48

months

no prolapse recurrence at nearly 4 years after surgery

n = 15 patients

More results

The cohort had a median age of 71 years and seven patients had a prior hysterectomy with concomitant prolapse repair.

Mean operative time was 145 minutes and median hospital stay was 2 days.

No postoperative complications or hospital readmissions occurred.

More results

One patient developed late intravesical mesh erosion, treated endoscopically without recurrence.

“

Conclusion

Integral Perineal Sacrocolpopexy appears to be a safe and feasible technique for highly selected patients with compromised pelvic floor support, offering anatomical and functional correction with a complication profile within the range reported for conventional sacrocolpopexy.

Integral Perineal Sacrocolpopexy: Expanding Surgical Options for Complex Pelvic Organ Prolapse.

Integral Perineal Sacrocolpopexy: Expanding Surgical Options for Complex Pelvic Organ Prolapse.

Related papers