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Sacrospinous vaginal fixation--current status.

Eckhard Petri1, Kiran Ashok

  • 1Division of Urogynecology, Department of Obstetrics and Gynecology, University of Greifswald, Germany. profpetri@gmx.de

Acta Obstetricia Et Gynecologica Scandinavica
|February 11, 2011
PubMed
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This summary is machine-generated.

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Sacrospinous vaginal fixation (SSF) offers effective, long-term outcomes for pelvic organ prolapse, improving quality of life. Its complication rates are comparable to abdominal procedures and lower than mesh, making it a cost-effective option.

Area of Science:

  • Urogynecology
  • Pelvic Reconstructive Surgery

Background:

  • Increasing use of synthetic meshes and abdominal procedures.
  • Decreasing utilization of sacrospinous fixation (SSF).

Purpose of the Study:

  • To review the efficacy, complications, and quality of life outcomes of sacrospinous vaginal fixation (SSF).
  • To assess the role of SSF in modern pelvic reconstructive surgery.

Main Methods:

  • Medline search for sacrospinous ligament and related terms (1996-2010).
  • Analysis of published papers focusing on efficacy, complications, and quality of life.
  • Exclusion of bilateral SSF, uterine fixation, and concomitant anti-incontinence procedures.

Main Results:

  • Sacrospinous vaginal fixation demonstrates good long-term objective and subjective outcomes.

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  • Quality of life is significantly improved in women undergoing SSF for pelvic organ prolapse.
  • Complication rates are comparable to abdominal sacrocolpopexy and lower than transvaginal mesh procedures.
  • SSF is a cost-effective surgical option.

    • Conclusions:

    • Sacrospinous vaginal fixation is a time-tested procedure with reduced surgical extent.
    • SSF has a defined role in contemporary pelvic reconstructive surgery.
    • Offers favorable outcomes and safety profile compared to alternatives.