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VOLUME 6 , ISSUE 1 ( January-June, 2018 ) > List of Articles


Sacrospinous Ligament Fixation in Patients having Second-degree Uterine Prolapse

Helmy A Rady

Keywords : Sacrospinous ligament, Second-degree uterine prolapse, Vaginal procedure

Citation Information : Rady HA. Sacrospinous Ligament Fixation in Patients having Second-degree Uterine Prolapse. J South Asian Feder Menopause Soc 2018; 6 (1):48-51.

DOI: 10.5005/jp-journals-10032-1135

Published Online: 01-07-2017

Copyright Statement:  Copyright © 2018; The Author(s).


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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  1. Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ, Steegers-Theunissen RP, Burger CW, Vierhout ME. The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female population. Int Urogynecol J Pelvic Floor Dysfunct 2009 Sep;20(9):1037-1045.
  2. Maher C, Feiner B, Baessler K, Adams EJ, Hagen S, Glazener CM. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 2010 Apr;14(4):CD004014.
  3. Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, Spino C, Whitehead WE, Wu J, Brody DJ; Pelvic Floor Disorders Network. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008 Sep;300(11): 1311-1316.
  4. de Castro EB, Juliato CR, Piedemonte LA, dos Santos Júnior LC. Impact of sacrospinous colpopexy associated with anterior colporrhaphy for the treatment of dome prolapse on all three vaginal compartments. Rev Bras Ginecol Obstet 2016 Feb;38(2):77-81.
  5. Dallenbach P, Kaelin-Gambirasio I, Jacob S, Dubuisson JB, Boulvain M. Incidence rate and risk factors for vaginal vault prolapse repair after hysterectomy. Int Urogynecol J Pelvic Floor Dysfunct 2008 Dec;19(12):1623-1629.
  6. Nyyssönen V, Talvensaari-Mattila A, Santala M. Posterior intravaginal slingplasty versus unilateral sacrospinous ligament fixation in treatment of vaginal vault prolapse. ISRN Obstet Gynecol 2013 Aug;2013:958670.
  7. Demirci F, Demirci O, Dolgun ZN, Karakoç B, Demirci E, Somunkýran A, Iyibozkurt C, Karaalp E. Perioperative complications in abdominal sacrocolpopexy, sacrospinous ligament fixation and prolift procedures. Balkan Med J 2014 Jun;31(2):158-163.
  8. Detollenaere RJ, den Boon J, Stekelenburg J, Alhafidh AH, Hakvoort RA, Vierhout ME, van Eijndhoven HW. Treatment of uterine prolapse stage 2 or higher: a randomized multicenter trial comparing sacrospinous fixation with vaginal hysterectomy (SAVE U trial). BMC Womens Health 2011 Feb;11:4.
  9. Lo TS, Tan YL, Khanuengkitkong S, Dass AK. Surgical outcomes of anterior trans-obturator mesh and vaginal sacrospinous ligament fixation for severe pelvic organ prolapse in overweight and obese Asian women. Int Urogynecol J 2013 May;24(5):809-816.
  10. Pirtea L, Grigoras D, Ilina R, Mueller-Funogea A. Treatment of complete genital prolapse by sacrospinous fixation, anterior mesh repair and conservation of the uterus. Chirurgia (Bucur) 2014 Jan-Feb;109(1):139-141.
  11. Persu C, Chapple CR, Cauni V, Gutue S, Geavlete P. Pelvic Organ Prolapse Quantification System (POP-Q)—a new era in pelvic prolapse staging. J Med Life 2011 Jan-Mar;4(1):75-81.
  12. Grimes CL, Tan-Kim J, Whitcomb EL, Lukacz ES, Menefee SA. Long-term outcomes after native tissue vs. biological graft-augmented repair in the posterior compartment. Int Urogynecol J 2012 May;23(5):597-604.
  13. Klauschie JL, Cornella JL. Surgical treatment of vaginal vault prolapse: a historic summary and review of outcomes. Female Pelvic Med Reconstr Surg 2012 Jan-Feb;18(1):10-17.
  14. Tseng LH, Chen I, Chang SD, Lee CL. Modern role of sacrospinous ligament fixation for pelvic organ prolapse surgery— a systemic review. Taiwan J Obstet Gynecol 2013 Sep;52(3): 311-317.
  15. Gupta P. transvaginal sacrospinous ligament fixation for pelvic organ prolapse stage III and stage IV uterovaginal and vault prolapse. IJMS 2015 Jan;40(1):58-62.
  16. Petri E, Ashok K Sacrospinous vaginal fixation—current status. Acta Obstet Gynecol Scand 2011 May;90(5):429-436.
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