Mostafa A Hamdy1, Waleed A Sayed Ahmed2, Omima T Taha3, Zakia M Abolill4, Amal M Elshahat5, Ahmed A Aboelroose6. 1. Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ring Road, Ismailia 41111, Egypt. Electronic address: drmustafa_ahmed@yahoo.com. 2. Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ring Road, Ismailia 41111, Egypt. Electronic address: waleed.asa@gmail.com. 3. Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ring Road, Ismailia 41111, Egypt. Electronic address: omimatharwat@yahoo.com. 4. Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ring Road, Ismailia 41111, Egypt. Electronic address: zakiamahdyabolil@yahoo.com. 5. Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ring Road, Ismailia 41111, Egypt. Electronic address: amalmsh2@yahoo.com. 6. Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ring Road, Ismailia 41111, Egypt. Electronic address: aaboelroose@gmail.com.
Abstract
STUDY OBJECTIVE: To evaluate the late suture- related complications of sacrospinous ligament fixation (SSLF) as a treatment for uterovaginal prolapse and their impact on the quality of life. DESIGN: A prospective cohort study. SETTINGS: The Obstetrics and Gynecology Department of Suez Canal University Hospitals, Ismailia, Egypt from January 2014 to June 2018. PATIENTS: We recruited sixty women with uterovaginal prolapse. INTERVENTIONS: Patients underwent SSLF using the Capio suture recapturing device with non-absorbable suture material (0 braided Polyester). Postoperative visits were at six weeks then at 6, 12, 18, and 24 months after the procedure. MEASUREMENTS AND MAIN RESULTS: Outcome measures were the rate and timing of suture- related and the quality of life using the pelvic floor impact questionnaire-7 at 24 months postoperatively. The mean age of the studied population was 45.7 ± 9.8 years. Suture- related complications occurred in 55% (33/60) of patients, with vaginal discharge the most commonly reported symptom. Most of them presented in the 1st year after the procedure 72.7% (24/33), and 25% (15/60) had suture removal. However, there was a significant improvement in patients' quality of life. CONCLUSION: Sacrospinous ligament fixation has a positive impact on the quality of life, yet associated with significant but prominent suture- related complications.
STUDY OBJECTIVE: To evaluate the late suture- related complications of sacrospinous ligament fixation (SSLF) as a treatment for uterovaginal prolapse and their impact on the quality of life. DESIGN: A prospective cohort study. SETTINGS: The Obstetrics and Gynecology Department of Suez Canal University Hospitals, Ismailia, Egypt from January 2014 to June 2018. PATIENTS: We recruited sixty women with uterovaginal prolapse. INTERVENTIONS:Patients underwent SSLF using the Capio suture recapturing device with non-absorbable suture material (0 braided Polyester). Postoperative visits were at six weeks then at 6, 12, 18, and 24 months after the procedure. MEASUREMENTS AND MAIN RESULTS: Outcome measures were the rate and timing of suture- related and the quality of life using the pelvic floor impact questionnaire-7 at 24 months postoperatively. The mean age of the studied population was 45.7 ± 9.8 years. Suture- related complications occurred in 55% (33/60) of patients, with vaginal discharge the most commonly reported symptom. Most of them presented in the 1st year after the procedure 72.7% (24/33), and 25% (15/60) had suture removal. However, there was a significant improvement in patients' quality of life. CONCLUSION: Sacrospinous ligament fixation has a positive impact on the quality of life, yet associated with significant but prominent suture- related complications.