Sacrospinous colpopexy as prophylactic and therapeutic treatment of vaginal vault prolapse after hysterectomy

Authors: S. N. M. Youssif, Jamila Shahid
                                                                                                                                                                               
Affiliation:Obstetrics and Gynaecology Department, Norfolk and Norwich Hospital, Norwich

Published in: Journal of Obstetrics and Gynaecology , Volume 15, Issue 5 September 1995 , pages 311 - 315

Subject: Obstetrics, Gynecology & Women's Health

Abstract To evaluate the effectiveness of fixing the vaginal vault to the strong and immobile sacrospinous ligament when combined with traditional repairs of procidentia and vaginal vault prolapse, 20 patients with genital prolapse who needed vaginal hysterectomy and repair, or repair of vault prolapse, were studied.   Intra-operative and postoperative complications were minimal. Vaginal axis and depth were restored. Vaginal function was maintained. Discomfort was relieved. Dyspareunia did not occur. Incidence of recurrent prolapse or vaginal laxity was low when assessed after one year. All patients were satisfied.   Sacrospinous colpopexy should be added to traditional repairs to treat procidentia and with vault prolapse repairs to prevent recurrent vaginal vault prolapse.