Vaginal sacrospinous ligament fixation versus abdominal sacrocolpopexy for the treatment of vaginal cuff prolapse: A retrospective study

Vaginal sacrospinous ligament fixation versus abdominal sacrocolpopexy for the treatment of vaginal cuff prolapse: A retrospective study

Aim: The aim of this study was to retrospectively compare the objective and the subjective results of native tissue sacrospinous ligament fixation (SSLF) and abdominal sacrocolpopexy (ASC) operation for the treatment of vaginal cuff prolapse (VCP).Material and Methods: 25 patients who underwent native tissue SSLF and 20 patients who underwent mesh ASC procedure for VCP were evaluated with pelvic organ prolapse quantification (POP-Q) system and pelvic floor distress inventory-20 (PFDI-20) before the surgery and 12 months after surgery. The patients were asked about surgical satisfaction, postoperatively. Demographic data, intra- and postoperative complications, operation duration and hospital stay were also recorded.Results: No difference was detected between SSLF and ASC in terms of objective success rate (88% vs. 95%; p=0.617). PFDI-20 score improved significantly after the ASC and SSLF (p

___

  • 1. Glazener C, Constable L, Hemming C, et al. Two parallel, pragmatic, UK multicentre, randomised controlled trials comparing surgical options for upper compartment (vault or uterine) pelvic organ prolapse (the VUE Study): Study protocol for a randomised controlled trial. Trials 2016;17:441.
  • 2. Mant J, Painter R, Vessey M. Epidemiology of genital prolapse: observations from the Oxford Family Planning Association study. Br J Obstet Gynaecol 1997;104:579-85.
  • 3. Slopnick EA, Petrikovets A, Sheyn D, et al. Surgical trends and patient factors associated with the treatment of apical pelvic organ prolapse from a national sample. Int Urogynecol J 2018;3.
  • 4. Betschart C, Cervigni M, Ortiz OC, et al. management of apical compartment prolapse ( uterine and vault prolapse ): a figo working group report. Neurourol Urodyn 2017;36:507-13.
  • 5. Clemons JL, Weinstein M, Guess MK, et al. Impact of the 2011 FDA transvaginal mesh safety update on augs members’ use of synthetic mesh and biologic grafts in pelvic reconstructive surgery. Female Pelvic Med Reconstr Surg 2013;19:191-8.
  • 6. Benson JT, Lucente V, McClellan E. Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: A prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 1996;175:1418-22.
  • 7. Maher CF, Qatawneh AM, Dwyer PL, et al. Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse : A prospective randomized study. Am J Obstet Gynecol 2004;190:20-6.
  • 8. Hardiman PJ, Drutz HP. Sacrospinous vault suspension and abdominal colposacropexy: Success rates and complications. Am J Obstet Gynecol 1996;175:612-6.
  • 9. Ng M, Han HC, Ng C, et al. Comparison of effectiveness of vaginal and abdominal routes in treating severe uterovaginal or vault prolapse. Singapore Med J 2004;45:475-81.
  • 10. Marcickiewicz J, Kjöllesdal M, Engh ME, et al. Vaginal sacrospinous colpopexy and laparoscopic sacral colpopexy for vaginal vault prolapse. Acta Obstet Gynecol Scand 2007;86:733-8.
  • 11. Sze EH, Kohli N, Miklos JR, et al. Original Article A Retrospective Comparison of Abdominal Sacrocolpopexy with Burch Colposuspension versus Sacrospinous Fixation with Transvaginal Needle Suspension for the Management of Vaginal Vault Prolapse and Coexisting Stress Incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1999;10:390-3.
  • 12. Siddiqui NY, Grimes CL, Casiano ER, et al. Mesh sacrocolpopexy compared with native tissue vaginal repair: a systematic review and meta-analysis. Obstet Gynecol 2015;125:44-55.
  • 13. Natıonal Instıtute For Health And Care. Interventional procedure consultation document Sacrocolpopexy using mesh to repair vaginal vault prolapse 2016;1-14.
  • 14. Teleman P, Laurikainen E, Kinne I, et al. Relationship between the Pelvic Organ Prolapse Quantification system (POP-Q), the Pelvic Floor Impact Questionnaire (PFIQ-7), and the Pelvic Floor Distress Inventory (PFDI-20) before andafter anterior vaginal wall prolapse surgery. Int Urogynecol J 2015;26:195-200
  • 15. Kaplan PB, Sut N, Sut HK. Validation, cultural adaptation and responsiveness of two pelvic-floor-specific quality-of-life questionnaires, PFDI-20 and PFIQ-7, in a Turkish population. Eur J Obstet Gynecol Reprod Biol 2012;162:229-33.
  • 16. Coolen ALWM, Bui BN, Dietz V, et al. The treatment of post-hysterectomy vaginal vault prolapse: a systematic review and meta-analysis. Int Urogynecol J 2017;28:1767-83.
  • 17. Nieminen K, Huhtala H, Heinonen PK. Anatomic and functional assessment and risk factors of recurrent prolapse after vaginal sacrospinous fixation. Acta Obstet Gynecol Scand 2003;82:471-8.
  • 18. Wallner C, Maas CP, Dabhoiwala NF, et al. Innervation of the Pelvic Floor Muscles. Obstet Gynecol 2006;108:529-34
  • 19. Takeyama M, Koyama M, Murakami G, et al. Nerve preservation in tension-free vaginal mesh procedures for pelvic organ prolapse: a cadaveric study using fresh and fixed cadavers. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:559-66.
  • 20. Barber MD, Bremer RE, Thor KB, et al. Innervation of the female levator ani muscles. Am J Obstet Gynecol 2002;187:64-71.
  • 21. Petri E, Ashok K. Sacrospinous vaginal fixation – current status. Acta Obstet Gynecol Scand 2011;90:429-36.
  • 22. Morgan DM, Rogers MAM, Huebner M, et al. Heterogeneity in anatomic outcome of sacrospinous ligament fixation for prolapse: A systematic review. Obstet Gynecol 2007;109:1424-33.
  • 23. Dietz V, Huisman M, de Jong JM, et al. Functional outcome after sacrospinous hysteropexy for uterine descensus. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:747-52.
  • 24. Chen HY, Chiu TH, Ho M, et al. Analysis of risk factors associated with surgical failure of sacrospinous suspension for uterine or vaginal vault prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2009;20:387-91.
  • 25. Parkes IL, Shveiky D. Sacrocolpopexy for Treatment of Vaginal Apical Prolapse: Evidence-Based Surgery. J Minim Invasive Gynecol 2014;21:546-57.
  • 26. Nygaard IE, McCreery R, Brubaker L, et al. Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 2004;104:805-23.
  • 27. Takacs EB, Kreder KJ. Sacrocolpopexy: Surgical Technique, Outcomes, and Complications. Curr Urol Rep 2016;17:90.
  • 28. Fox SD, Stanton SL. Vault prolapse and rectocele: assessment of repair using sacrocolpopexy with mesh interposition. BJOG 2000;107:1371-5.
  • 29. Grimes CL, Lukacz ES, Gantz MG, et al. What happens to the posterior compartment and bowel symptoms after sacrocolpopexy? evaluation of 5-year outcomes from E-CARE. Female Pelvic Med Reconstr Surg 2014;20:261-6.
Annals of Medical Research-Cover
  • Yayın Aralığı: 12
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

High-dose botulinum toxin in chronic anal fissure treatment: Short term results

Tuğrul KESİCİOĞLU, Sercan BÜYÜKAKINCAK, İsmail AYDIN, Hamza CİNAR, Cagri AKALIN

Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older

Tuğba Han YILMAZ, Huseyin GULAY, Bahattin TUNCALI, Cihan ALTIN, Varlık EROL, Yonca Özvardar PEKCAN, Baha ARSLAN

Prognostic factors affecting survival in stage 3 colorectal cancers

Mehmet BAYRAK, Yasemin ALTINTAŞ

The correlation between cytological examination of ascitic fluid and serum ascites albumin gradient in the differential diagnosis of ascites

Mehmet Ali ERDOGAN, Yahya ATAYAN, Mehmet Veysi DEVİREN, Ayetullah APAK, Sendag YASLIKAYA, Ali Rıza ÇALIŞKAN

Evaluation of anesthesia management in laparoscopic radical prostatectomy surgeries: A retrospective clinical study

Muharrem UCAR, Mukadder ŞANLİ

Specimen extraction and anvil placement methods in laparoscopic colorectal surgery: A single surgeon’s experience

Servet KARAGÜL

The comparison of postoperative wound healing following different gingivectomy techniques: A randomized prospective clinical trial

Süleyman BOZKAYA, Berceste GÜLER, Sila Cagri IŞLER, Ahu URAZ, Fitnat Deniz CETİNER

Musculoskeletal disorder symptoms in nurses and etiological factors: A cross-sectional research

Aslı KALKIM, Tülay SAĞKAL MİDİLLİ, Sinem DOGRU

Clinical efficacy and acceptability of 0.25% flurbiprofen mouthwash after periodontal flap surgery: A double-blinded, parallel-group, placebo-controlled, randomized clinical trial

Burcu OZDEMİR, Cise NAZIM, Sila Cagri IŞLER, Muge AYDOGAN, Hikmat BAKHISHOV, Memnune DINC

Risk factors for coronary artery disease in left bundle branch block

Haldun MÜDERRİSOĞLU, Kerem Can YILMAZ, Suzan KESKİN, Bülent ÖZİN, Orçun ÇİFTCİ