Twenty-five sacrospinous ligament fixation procedures in a district general hospital: our experience

The aim of this study was to assess the safety and medium term efficacy of sacrospinous ligament fixation procedure for grade 2 and grade 3-uterovaginal prolapse. This retrospective case study was performed between 1 July 2000 - 4 July 2003 at a District General Hospital in Scotland. For data collection, patient files, theatre records and the computer database were reviewed. The procedure was performed on 25 women. The subjective cure rate in our department was 23/25 (92%) and the recurrence rate was 2/25 (8%). These two patients underwent repeat surgery successfully. The mean follow-up time was 2 years (range 6 months to 3 years). The immediate postoperative complication rate was 2/25 (8%). The late postoperative complications rate was 7/25(28%). We concluded that the sacrospinous ligament fixation is safe and effective with good medium-term results and few postoperative complications. It should be regarded as a good primary procedure in a District General Hospital.