Bilateral transvaginal sacrospinous colpopexy: preliminary experience

American Journal of Obstetrics and Gynecology
J F Pohl, J L Frattarelli

Abstract

Our goal was to determine how often a transvaginal sacrospinous colpopexy procedure can be done bilaterally. Between August 1993 and July 1996, 66 patients were prospectively evaluated for uterine prolapse (19 patients) and posthysterectomy vaginal vault prolapse (47 patients). Twenty-six patients (25 with posthysterectomy vaginal vault prolapse) underwent an abdominal sacral colpopexy. The remaining 40 patients (18 with uterine prolapse, 22 with posthysterectomy vaginal vault prolapse) were preoperatively and intraoperatively assessed for a bilateral sacrospinous colpopexy. All patients with uterine prolapse underwent hysterectomy. In 10 of the 18 (56%) patients with uterine prolapse and in 16 of the 22 (73%) patients with posthysterectomy vaginal vault prolapse, bilateral suspension to the sacrospinous ligament was carried out. Follow-up has ranged from 6 to 40 months, and no recurrent vaginal cuff prolapses have been detected in any patients. In 3 patients, however, all in the bilateral fixation categories, distention cystoceles have developed; one patient has undergone a successful anterior colporrhaphy. The bilateral suspension is different from the unilateral suspension in that the former requires significant intraoperati...Continue Reading

References

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Citations

Mar 27, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Viviane DietzHuub van der Vaart
Oct 19, 2005·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Rajka ArgirovićNebojsa Ladević
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Dec 29, 2012·Archives of Gynecology and Obstetrics·Melike Doğanay, Orhan Aksakal
Aug 30, 2011·Journal of Minimally Invasive Gynecology·Mun-Kun HongDah-Ching Ding
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May 30, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Emmanuel David-MontefioreEmile Daraï
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Jun 20, 2002·Current Opinion in Urology·Brian J Flynn, George D Webster

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