Introduction: Sacrospinous ligament fixation is a simple procedure we use to treat cases with uterine prolapse.
Aim: The aim of this work is to test the effectiveness of this procedure in the treatment of second-degree uterine prolapse.
Materials and methods: The study included 50 women having second-degree uterine prolapse. Twenty-five of them (group I) were treated with bilateral sacrospinous ligament fixation, while the others (group II) were treated with unilateral sacrospinous ligament fixation. Assessment of the efficacy, intraoperative, and postoperative complications was recorded (follow-up of patients occurred 3 and 6 months postoperatively).
Results: The mean operative time in unilateral sacrospinous fixation is 52 ± 10.6 minutes, while in bilateral procedure, it is 73 ± 12.6 minutes, but postoperative pain is more in bilateral than unilateral procedure.
Conclusion: Sacrospinous ligament fixation is an effective treatment for patients having second-degree uterine prolapse. Unilateral is better than bilateral sacrospinous operation regarding postoperative pain.
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