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Published on: August 17, 2022
Balanced Sacrospinous Ligament Fixation in Uterine Prolapse: A Preliminary Retrospective Comparative Study
Peiyi Zhou1,2, Weiyi He1,2, Pan Hu1,2
1Women and Children's Hospital of Chongqing Medical University (Chongqing Health Center for Women and Children), No.120 Longshan Road, Chongqing, 401147, Yubei District, China.
International Urogynecology Journal
|June 10, 2026
Summary
Balanced sacrospinous ligament fixation (BSSF) and laparoscopic sacrohysteropexy (LSH) show lower recurrence rates for uterine prolapse compared to modified sacrospinous fixation (MSSF). BSSF offers a safe, effective uterine-sparing option for apical prolapse.
Area of Science:
- Urogynecology
- Pelvic Floor Disorders
- Minimally Invasive Surgery
Background:
- Uterine prolapse affects a significant number of women, impacting quality of life.
- Surgical management aims to restore pelvic anatomy and function.
- Various surgical techniques exist, each with distinct outcomes.
Purpose of the Study:
- To compare the short-term clinical efficacy of balanced sacrospinous ligament fixation (BSSF) against laparoscopic sacrohysteropexy (LSH) and modified sacrospinous fixation (MSSF) for uterine prolapse.
- To evaluate recurrence rates, surgical outcomes, and quality of life following these procedures.
Main Methods:
- Retrospective cohort study of 152 patients with stage II+ uterine prolapse.
- Procedures included BSSF, MSSF, and LSH.
- Primary outcome: 1-year subjective recurrence rate. Secondary outcomes: anatomical recurrence, operative time, blood loss, hospital stay, POP-Q scores, and quality of life.
Main Results:
- BSSF and LSH demonstrated significantly lower 1-year subjective recurrence rates (2.0%) compared to MSSF (13.5%).
- Anatomical recurrence followed a similar pattern, with BSSF and LSH showing better outcomes than MSSF.
- BSSF offered shorter operative times than LSH and comparable anterior compartment support to LSH postoperatively.
Conclusions:
- Balanced sacrospinous ligament fixation (BSSF) is a safe and effective uterine-sparing surgical option for apical uterine prolapse.
- Further randomized controlled trials with longer follow-up are warranted to confirm these findings.
