A Clinical Analysis on Sacrospinous Ligament Suspension for Management of Pelvic Organ Prolapse

Choi, Sang Joon; Kim, Tae Jung

Abstract

OBJECTIVE
To assess the therapeutic results and complications of the transvaginal sacrospinous ligament suspension for the treatment of vault prolapse following hysterectomy and pelvic organ prolapse.
METHODS
A retrospective analysis was performed from thirty patients with follow-up visits questionnaires and medical records that underwent sacrospinous ligament suspension with concomitant pelvic reconstruction in the department of obstetrics and gynecology, chosun university hospital. Clinical data included age distribution, parity, functional symptom, operative time, and postoperative complications. Outcomes of the procedures were assessed on postoperative follow up data.
RESULTS
The median age of 30 patients was 52.7+/-9.6 and the median parity was 2.7+/-1.7. According to the POP-Q system approved by ICS, stage II pelvic prolapse was in 4 cases (13.4%), stage III in 16 cases (53.3%), stage IV in 10 cases (33.3%). The average operation time was 108.32 minutes. Postoperative complications consist of 1 case of femoral sciatic nerve ligation, 8 cases of postoperative temporary gluteal pain, 5 cases of hemorrhage requiring transfusion. The average follow up duration was 10.8+/-2.3 months and postoperative complications like dysuria, relapsing pelvic organ prolapse, vault prolapse, dyspareunia were not detected.
CONCLUSION
This results suggest that the transvaginal sacrospinous ligament suspension is effective method for vaginal vault prolapse after hystectomy and preventing recurrent pelvic organ prolapse.