Laparoscopic sacrocolpopexy with a vaginal prosthetic adhesive

To evaluate the efficacy and safety of vaginal prosthetic adhesive (VPA) during laparoscopic sacrocolpopexy. Retrospective analysis of 35 first consecutive cases. Gynecology Surgery Unit, Bouchard Clinic, Marseille, France. Thirty-five women (age range: 35–85 years; average 60.8 years) presenting a genital prolapse assessed by a Pelvic Organ Prolapse Quantification (POP-Q) Score (stage 2 to 4). Modified laparoscopic sacrocolpopexy using a synthetic glue (Ifabond™, Peters Surgical®) to fix the mesh to the vagina (anterior and posterior) and to the levator ani. Two non-absorbable knots are used to secure the anterior mesh to the isthmus and to the promontory. The average operating time was 68.4 minutes (45–115 min). No complications occurred during the procedure and early postoperative course. One patient (2.8%) experienced mesh exposure, and one patient (2.8%) experienced a subacute intestinal obstruction, which was resolved by a medical treatment. During a median follow-up at 13.2 months (range: 6–24.7 months), the surgical success rate (POP-Q