Management of a patient with recurrent prolapse after laparoscopic lateral suspension with laparoscopic sacrocolpopexy

Pelvic organ prolapse (POP) is a pelvic floor disorder characterized by the protrusion of the anterior, posterior, or apical compartments of the pelvic floor into the vaginal lumen, along with adjacent organs such as the cervix, uterus, bladder, or rectum. 1,2Its prevalence tends to increase with age, peaking at 1.5-1.8/1000 in women aged 60-69 years, 3 with 19% of women undergoing POP surgery by the age of 85. 4 Treatment options vary based on the severity of POP, the patient's age, sexual status, and any comorbid conditions. 5-7Laparoscopic sacrocolpopexy (LSC) is regarded as the gold standard for apical prolapse surgery, with a success rate ranging from 78% to 100%. 8LSC is a complex surgical technique that requires deep pelvic dissection, advanced laparoscopic suturing techniques and associated rare but serious complications (e.g., vascular injury, sacral nerve injury, etc.). 9,10Therefore, there has been a search for simpler and ABSTRACTPelvic organ prolapse (POP) is a pelvic floor disorder characterized by the protrusion of the anterior, posterior, or apical compartments of the pelvic floor into the vaginal lumen, along with adjacent organs such as the cervix, uterus, bladder, or rectum.Treatment options vary based on the severity of POP, the patient's age, sexual status, and any comorbid conditions.Laparoscopic sacrocolpopexy (LSC) is regarded as the gold standard for apical prolapse surgery, with a success rate ranging from 78% to 100%.Laparoscopic lateral suspension (LLS), which has a similar success rate and is less complex, offers a good alternative to LSC.However, long-term studies are still ongoing.LSC remains a viable option in cases where LLS initially succeeds but is followed by recurrences over time.In this case report, we present the management of a case with recurrence 40 months after LLS due to uterine prolapse.