Related Experiment Video
Updated: Nov 2, 2025
Development of a Uterosacral Ligament Suspension Rat Model
Published on: August 17, 2022
Safety and efficiency of modified sacrospinous ligament fixation for apical prolapse: Long-term studies and outcomes
Pan Hu1, ChunYan Zhong2, Shentao Lu1
1Department of Gynecological Pelvic Floor and Oncology, Chongqing Health Center for Women and Children, Chongqing, China.
Objective:
To explore the safety and efficiency of modified sacrospinous ligament fixation (MSSF) for apical prolapse.
Methods:
A retrospective cohort study. Patients diagnosed with apical prolapse from 2014 to 2019 were recruited and divided into three groups: sacrospinous ligament fixation (SSF), MSSF, and laparoscopic sacral hysteropexy (LSH). All surgical characteristics were obtained and information concerning complications was collected and compared among these three groups.
Results:
A total of 710 patients were included: 108 in the SSF group, 260 in the LSH group, and 342 in the MSSF group. The MSSF and SSF groups took less surgical time (P < 0.001) and had shorter hospital stays (P < 0.001). All three methods can significantly change prolapses to point C on the POP quantification score (P < 0.001). Prevalence of vaginal and pelvic pain after surgery was higher in the SSF group (8/108; 7.41%) (P = 0.028), and urinary incontinence was higher in the LSH group (22/260; 8.46%) (P = 0.010). In the LSH group more patients experienced constipation and dyschezia after surgery (prevalence 18/260; 6.92%; P = 0.048). Recurrence of pelvic organ prolapse in the MSSF group (15/324; 4.39%) and LSH group (12/260; 4.62%) was much lower than in the SSF group (16/108; 14.81%) (P < 0.001).
Conclusion:
The efficacy of MSSF is commendable with low recurrence of POP and few complications in long-term follow up.
