Experience
Fifteen sacrouterine tape simulation operations have been successfully performed. I have not encountered any complications related to the operation. One bladder perforation due to a concomitant retropubic mid-urethral sling was resolved by pulling and reinserting the tape. In one patient, meticulous dissection of the sigmoid colon, intestine and bladder was performed before tunneling and fixation. Other concomitant vaginal procedures have included anterior colporrhaphy, posterior colporrhaphy and perineoplasty. The tape can be inserted into the cervix in 10–20 minutes and the laparoscopy procedure can be completed in 20–30 minutes. All patients were hospitalized on the operation day, discharged within 24 hours and managed according to the ERAS protocol of the clinic. I believe that utilization of the special tunneler, designed with appropriate angle, rotation and diameter and easy attachment mechanism, improves the operation time. The median preoperative point C was +1 and median postoperative point C was -8. The median change from preoperative point C to postoperative point C was 9 cm (P < 0.01). All patients were followed up at 4 weeks postoperative, and they all had a Stage 0 Pelvic Organ Prolapse Qantification (POP-Q) score.