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.
|Number of pages||9|
|Journal||Urogynaecologia International Journal|
|Publication status||Published - 1996|
- sacrospinous fixation
- vaginal vault prolapse
ASJC Scopus subject areas
- Obstetrics and Gynaecology