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Sacrospinous suspension: a local practitioner's experience
1Jefferson Surgical Clinic, Roanoke, VA 24016, USA.
American Journal of Obstetrics and Gynecology
|August 1, 1995
Summary
Transvaginal sacrospinous fixation is effective for treating uterovaginal prolapse and vaginal vault prolapse. Most patients experienced no recurrence of vaginal vault prolapse after the procedure.
Area of Science:
- Urogynecology
- Pelvic Reconstructive Surgery
Background:
- Uterovaginal prolapse and vaginal vault prolapse are common conditions affecting women's pelvic health.
- Surgical intervention is often necessary to restore pelvic support.
Purpose of the Study:
- To evaluate the effectiveness of transvaginal sacrospinous fixation for pelvic reconstructive surgery.
- To assess the surgical outcomes for patients with uterovaginal and vaginal vault prolapse.
Main Methods:
- Retrospective review of 156 patients undergoing sacrospinous suspension between 1987 and 1994.
- Comparison of preoperative and postoperative pelvic support defects.
- Statistical analysis using the proportion test for independent samples.
Main Results:
- Vaginal vault prolapse recurred in 5.6% of patients; 2 underwent repeat surgery.
- Recurrent anterior segment defects occurred in 7.6% of patients.
- Recurrent posterior segment defects occurred in 1.4% of patients.
Conclusions:
- Transvaginal sacrospinous fixation demonstrates high efficacy in treating uterovaginal and vaginal vault prolapse.
- Ninety-four percent of patients remained free of vaginal vault prolapse recurrence 6 to 83 months post-surgery.