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Long-Term Results after Bilateral Sacrospinous Colposuspension: A Prospective Study
Gautier Chene1,2, Emanuele Cerruto1, Stephanie Moret1
1Department of Gynecology, Hôpital Femme Mère Enfant (HFME), 59 Boulevard Pinel, University Hospital of Lyon, 69500 Bron, France.
Journal of Clinical Medicine
|July 29, 2023
Summary
Bilateral sacrospinous colposuspension using an ultralight mesh effectively treats pelvic organ prolapse, significantly improving quality of life and showing durable anatomical results with low recurrence rates.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
Background:
- Apical support loss is common in pelvic organ prolapse.
- Effective vaginal apex correction is crucial for durable prolapse repair.
Purpose of the Study:
- To evaluate the long-term functional and anatomical outcomes of bilateral sacrospinous colposuspension with an ultralight, macroporous mesh.
Main Methods:
- Prospective study of 32 patients undergoing bilateral sacrospinous colposuspension with a specific mesh.
- Assessment included pelvic examination (POP-Q) and validated quality of life questionnaires (PFIQ-7, PFDI-20, SF-12, PISQ12) at 1, 6, 12, and 24 months post-surgery.
Main Results:
- The procedure demonstrated high efficacy, with only three prolapse recurrences at 24 months.
- Significant improvements were observed in PFIQ-7, PFDI-20, and SF-12 scores by two years.
- No significant improvement was noted in the PISQ12 questionnaire.
Conclusions:
- Bilateral sacrospinous colposuspension with this mesh is an effective, minimally invasive vaginal procedure for pelvic organ prolapse.
- The technique is quick, reproducible, and offers a relevant option for vaginal vault, cervical, or uterine prolapse.
