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

Abstract

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