Correction of vaginal vault prolapse using Capio™ suture capturing device: our experience

Area of Science:

• Urogynecology
• Pelvic reconstructive surgery

Background:

• Vaginal vault prolapse is a common condition in postmenopausal women.
• Sacrospinous ligament fixation (SSF) is a surgical option for treating vaginal vault prolapse.
• Traditional SSF techniques can be complex and time-consuming.

Purpose of the Study:

• To evaluate the advantages and disadvantages of using the Capio™ suture capturing device for sacrospinous ligament fixation (SSF) in menopausal women with vaginal vault prolapse.
• To assess the efficacy and safety of the Capio™ device-assisted SSF technique.

Main Methods:

• An observational, retrospective, cross-sectional study was conducted.
• Menopausal women with grade >2 vaginal vault prolapse underwent SSF using the Capio™ device.
• Patients received either unilateral or bilateral fixation via paravescical or pararectal routes.

Main Results:

• The SSF technique using the Capio™ device achieved an 89.3% success rate with a mean vaginal length of 7.1±2.4 cm.
• Only 5 patients experienced prolapse recurrence.
• Main long-term complications included de novo and recurrent cystocele, particularly in patients with risk factors.

Conclusions:

• The Capio™ suture capturing device simplifies the SSF procedure, requiring less surgical dissection and reducing operative time.
• The technique demonstrates a high success rate in managing vaginal vault prolapse.
• Further research is needed to address remaining clinical questions.