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Sacrospinous ligament fixation for vaginal vault prolapse
T Lantzsch1, C Goepel, M Wolters
1Department of Gynecology, Martin Luther University, Halle/Saale, Germany. tilmann.lantzsch@medizin.uni-halle.de
Archives of Gynecology and Obstetrics
|May 1, 2001
Summary
Sacrospinous ligament fixation is a safe and effective surgical treatment for pelvic organ prolapse, demonstrating low complication and recurrence rates in long-term follow-up studies.
Area of Science:
- Urogynecology
- Pelvic reconstructive surgery
- Female pelvic floor disorders
Background:
- Pelvic organ prolapse (POP) significantly impacts women's quality of life.
- Sacrospinous ligament fixation is a surgical technique used to treat POP.
Purpose of the Study:
- To evaluate the intra- and postoperative complications of sacrospinous ligament fixation.
- To assess the long-term follow-up results of this procedure for pelvic organ prolapse.
Main Methods:
- A retrospective analysis of 200 women undergoing vaginal unilateral sacrospinous ligament fixation between 1988 and 1999.
- Data collected on intraoperative and postoperative complications, and long-term outcomes for 123 patients.
Main Results:
- Low complication rates observed, including urinary tract infection (8.0%) and temporary sciatic nerve irritation (7.5%).
- High success rate with 119 patients (96.7%) cured of urinary incontinence and prolapse at a mean follow-up of 4.8 years.
- Recurrence rates were low: 3.25% for vaginal vault prolapse and 8.1% for cystocele.
Conclusions:
- Sacrospinous ligament fixation is an effective and safe surgical option for treating pelvic organ prolapse.
- The procedure is associated with a low incidence of complications and a low rate of recurrence.
- Long-term follow-up confirms the durability and efficacy of sacrospinous ligament fixation.