Related Experiment Video
Updated: Jun 15, 2026
Development of a Uterosacral Ligament Suspension Rat Model
Published on: August 17, 2022
[Impact of sacrospinous vaginal vault suspension on the anterior compartment]
E Benedito de Castro1, P Palma, C Riccetto
1Department of Gynecology and Urology, Universidade Estadual de Campinas, São Paulo, Brasil.
Objectives:
A prospective study was conducted to assess the efficacy of sacrospinous vaginal vault fixation and its impact on the anterior compartment. The Pelvic Organ Prolapse Quantification (POP-Q) system was used to quantify pelvic organ prolapse in the apical and anterior vaginal compartments.
Methods:
Fifty-eight patients underwent a procedure to correct apical prolapse from March 2003 to February 2006. Mean preoperative and postoperative POP-Q scores were respectively: Aa (+0.74; -1.45); Ba (+3.17; -1.36); C (+3.41; -7.71) (p<0.001).
Results:
Cure rate was 93.1%. Preoperative and postoperative evaluation of the anterior vaginal compartment was respectively: stage 1 (5.2%; 48.3%), stage 2 (6.9%; 34.5%), stage 3 (74.1%; 5.2%), and stage 4 (13.8%; 0%). De novo cystocele occurred in 87.9% of cases. An improvement was seen in lower urinary tract symptoms of urgency, nocturia, and urge incontinence.
Conclusions:
Sacrospinous vaginal vault suspension is effective for the treatment of apical prolapse and leads to formation of cystocele in most cases.
