Mehmet Baki Şentürk1, Hakan Güraslan1, Yusuf Çakmak2, Murat Ekin1. 1. Clinic of Obstetrics and Gynecology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey. 2. Department of Obstetrics and Gynecology, Batman State Hospital, Batman, Turkey.
Abstract
OBJECTIVE: The aim of this study was to evaluate the results of bilateral sacrospinous fixation (SSF), which was performed with surgical mesh interposition and bilateral vaginal repair. MATERIAL AND METHODS: Twenty-two patients underwent SSF between 2010 and 2012, and the results were evaluated retrospectively. The results at preoperative and postoperative 6(th), 12(th), and 18(th) months of the pelvic organ prolapse quantification system (POP-Q) and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) were compared using Friedman and Wilcoxon Signed Ranks tests. Values of p<0.05 and <0.01 were considered statistically significant. RESULTS: According to the POP-Q, significant healing was observed on all vaginal vault points (p=0.001), and no prolapse was observed until the 18-month follow-up stage. There were also prominent patients who felt satisfactory with respect to their sexual life according to PISQ-12 (p=0.001). CONCLUSION: This technique appears to provide an adequate clinical resolution, and it may be the primary surgical option for women with pelvic organ prolapse.
OBJECTIVE: The aim of this study was to evaluate the results of bilateral sacrospinous fixation (SSF), which was performed with surgical mesh interposition and bilateral vaginal repair. MATERIAL AND METHODS: Twenty-two patients underwent SSF between 2010 and 2012, and the results were evaluated retrospectively. The results at preoperative and postoperative 6(th), 12(th), and 18(th) months of the pelvic organ prolapse quantification system (POP-Q) and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) were compared using Friedman and Wilcoxon Signed Ranks tests. Values of p<0.05 and <0.01 were considered statistically significant. RESULTS: According to the POP-Q, significant healing was observed on all vaginal vault points (p=0.001), and no prolapse was observed until the 18-month follow-up stage. There were also prominent patients who felt satisfactory with respect to their sexual life according to PISQ-12 (p=0.001). CONCLUSION: This technique appears to provide an adequate clinical resolution, and it may be the primary surgical option for women with pelvic organ prolapse.
Entities:
Keywords:
Pelvic organ prolapse; surgical mesh; vaginal vault
Authors: Linda Brubaker; Ingrid Nygaard; Holly E Richter; Anthony Visco; Anne M Weber; Geoffrey W Cundiff; Paul Fine; Chiara Ghetti; Morton B Brown Journal: Obstet Gynecol Date: 2008-07 Impact factor: 7.661