Sacrospinous fixation for the treatment and prevention of vaginal vault prolapse

M. Meschia, F. Amicarelli, F. Bruschi, M. Curtarelli, A. Ronchetti, P. Savini, P. Pifarotti

Research output: Contribution to journalArticlepeer-review

Abstract

Vaginal vault prolapse is an important complication that may occur after vaginal or abdominal hysterectomy. In this study 66 patients underwent a transvaginal sacrospinous fixation either for correction of vaginal vault prolapse (n = 33) or for prophylactic suspension of the apex, at the time of vaginal hysterectomy, in patients with severe utero-vaginal prolapse (n = 33). Results show that after an average time of follow-up of 30 months, the overall rate of anatomic success was more than 80%. The analysis of the vaginal profile shows that the anterior vaginal wall is affected by a higher rate of recurrence, with excellent results observed only in 44% of the patients. Stress urinary incontinence was objectivated with a cough stress test in 26 subjects before surgery, and a 65% cure rate was achieved with different antincontinence procedures.

Original languageEnglish
Pages (from-to)11-19
Number of pages9
JournalUrogynaecologia International Journal
Volume10
Issue number1
Publication statusPublished - 1996

Keywords

  • sacrospinous fixation
  • surgery
  • vaginal vault prolapse

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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