[Sacrospinous fixation for vaginal vault prolapse after hysterectomy sec. Miyazaki - longterm results]

To assess intra- and postoperative complications and to look for long term follow-up results in women with sacrospinous ligament fixation for vaginal vault prolapse sec. Miyazaki.

Retrospective study.

Department of Obstetrics and Gynecology, University Hospital, Olomouc.

Between January 2002 and December 2011,112 women (mean age 66.8, range 44 to 88 years) underwent vaginal unilateral sacrospinous ligament fixation sec. Miyazaki; 101 patients had prior hysterectomy. In 11 patients concomitant hysterectomy and sacrospinous ligament fixation was performed.

All 112 patients were analysed for intra and postoperative complications. Urinary tract infection (n=6; 5.3%), hematoma (n=6; 5.3%), temporary urinary retention (n=3; 2.7%), and temporary irritation of the static nerve (n=2; 1.6%), occurred in the postoperative phase. Long term data (range from 1 month to 8 years, mean 22 months) exist for 59 patients. 56 were completely cured without any signs of urinary inkontinence and prolapse. At follow-up 3 patients (5.1%) showed recurrent vaginal vault prolapse. Recurrent cystoceles and rectoceles were found in 10 (16.9%) and one (1.6%) cases respectively. Three patiens with complete recurrence of vaginal vault prolapse successfully underwent repeated sacrospinous ligament fixation sec. Miyazaki (2 cases) or polypropylene mesh insertion (1 case).

Sacrospinous ligament fixation sec. Miyazaki is an effective and safe procedure with a low recurrence and complication rate.