Skip to main content
Top
Published in: International Urogynecology Journal 11/2007

Open Access 01-11-2007 | Original Article

The effectiveness of the sacrospinous hysteropexy for the primary treatment of uterovaginal prolapse

Authors: Viviane Dietz, Joyce de Jong, Marieke Huisman, Steven Schraffordt Koops, Peter Heintz, Huub van der Vaart

Published in: International Urogynecology Journal | Issue 11/2007

Login to get access

Abstract

The objective of this study was to assess the effectiveness of sacrospinous ligament fixation of the uterus as a primary treatment of uterovaginal prolapse. In this observational study, 133 women underwent a sacrospinous hysteropexy. Data were obtained from their medical records, and standardized questionnaires about urogenital symptoms and quality of life were used. All women were invited for gynecological examination, using the Pelvic Organ Prolapse Quantification score. Ninety-nine women responded by returning the questionnaire (mean age, 59.2 and follow-up time, 22.5 months); 60 of these women underwent gynecologic examination. Eighty-four percent of women were highly satisfied about the outcome of the procedure. Serious complications were rare. The recurrence rate of descensus uteri that needed surgical treatment was 2.3%. The recurrence of cystoceles after surgery was 35%, but there were no differences in urogenital symptoms between women with or without a cystocele.
Literature
1.
go back to reference Carey MP, Slack MC (1994) Transvaginal sacrospinous colpopexy for vault and marked uterovaginal prolapse. Br J Obstet Gynaecol 101:536–540PubMed Carey MP, Slack MC (1994) Transvaginal sacrospinous colpopexy for vault and marked uterovaginal prolapse. Br J Obstet Gynaecol 101:536–540PubMed
2.
go back to reference Sze EH, Karram MM (1997) Transvaginal repair of vault prolapse: a review. Obstet Gynecol 89:466–475PubMedCrossRef Sze EH, Karram MM (1997) Transvaginal repair of vault prolapse: a review. Obstet Gynecol 89:466–475PubMedCrossRef
3.
go back to reference Nieminen K, Huhtala H, Heinonen PH (2003) Anatomical and functional assessment and risk factors of recurrent prolapse after vaginal sacrospinous fixation. Acta Obstet Gynecol Scand 82:471–478PubMedCrossRef Nieminen K, Huhtala H, Heinonen PH (2003) Anatomical and functional assessment and risk factors of recurrent prolapse after vaginal sacrospinous fixation. Acta Obstet Gynecol Scand 82:471–478PubMedCrossRef
4.
go back to reference Kovac SR, Cruikshank SH (1993) Successful pregnancies and vaginal deliveries after sacrospinous uterosacral fixation in five of nineteen patients. Am J Obstet Gynecol 168:1778–1786PubMed Kovac SR, Cruikshank SH (1993) Successful pregnancies and vaginal deliveries after sacrospinous uterosacral fixation in five of nineteen patients. Am J Obstet Gynecol 168:1778–1786PubMed
5.
go back to reference Rane A, Lim YN, Withey G, Muller R (2004) Magnetic resonance imaging findings following three different vaginal vault prolapse repair procedures: a randomised study. Aust NZ J Obstet Gynaecol 44:135–139CrossRef Rane A, Lim YN, Withey G, Muller R (2004) Magnetic resonance imaging findings following three different vaginal vault prolapse repair procedures: a randomised study. Aust NZ J Obstet Gynaecol 44:135–139CrossRef
6.
go back to reference Sze EH, Meranus J, Kohli N, Miklos JR, Karram MM (2001) Vaginal configuration on MRI after abdominal sacrocolpopexy and sacrospinous ligament suspension. Int Urogynecol J Pelvic Floor Dysfunct 12:375–379PubMedCrossRef Sze EH, Meranus J, Kohli N, Miklos JR, Karram MM (2001) Vaginal configuration on MRI after abdominal sacrocolpopexy and sacrospinous ligament suspension. Int Urogynecol J Pelvic Floor Dysfunct 12:375–379PubMedCrossRef
7.
go back to reference Hefni MA, El-Toukhy TA (2006) Long-term outcome of vaginal sacrospinous colpopexy for marked uterovaginal and vault prolapse. Eur J Obstet Gynecol Reprod Biol 127:257–263PubMedCrossRef Hefni MA, El-Toukhy TA (2006) Long-term outcome of vaginal sacrospinous colpopexy for marked uterovaginal and vault prolapse. Eur J Obstet Gynecol Reprod Biol 127:257–263PubMedCrossRef
8.
go back to reference Hefni MA, El Toukhy TA, Bhaumik J, Katsimanis E (2003) Sacrospinous cervicocolpopexy with uterine conservation for prolapse in elderly women: An evolving concept. Am J Obstet Gynecol 188:645–650PubMedCrossRef Hefni MA, El Toukhy TA, Bhaumik J, Katsimanis E (2003) Sacrospinous cervicocolpopexy with uterine conservation for prolapse in elderly women: An evolving concept. Am J Obstet Gynecol 188:645–650PubMedCrossRef
9.
go back to reference Van Brummen HJ, van de Pol G, Aalders CIM, Heintz APM, van der Vaart CH (2003) Sacrospinous hysteropexy compared to vaginal hysterectomy as primary surgical treatment for a descensus uteri: effects on urinary symptoms. Int Urogynecol J 14:350–355CrossRef Van Brummen HJ, van de Pol G, Aalders CIM, Heintz APM, van der Vaart CH (2003) Sacrospinous hysteropexy compared to vaginal hysterectomy as primary surgical treatment for a descensus uteri: effects on urinary symptoms. Int Urogynecol J 14:350–355CrossRef
10.
go back to reference Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef
11.
go back to reference Van der Vaart CH, de Leeuw JRJ, Roovers JPWR, Heintz APM (2003) Measuring Health-related quality of life in women with urogenital dysfunction: the urogenital distress inventory and incontinence impact questionnaire revisited. Neurourol Urodyn 22:97–104PubMedCrossRef Van der Vaart CH, de Leeuw JRJ, Roovers JPWR, Heintz APM (2003) Measuring Health-related quality of life in women with urogenital dysfunction: the urogenital distress inventory and incontinence impact questionnaire revisited. Neurourol Urodyn 22:97–104PubMedCrossRef
12.
go back to reference Maher CF, Cary MP, Slack MC, Murray CJ, Milligan M, Schluter P (2001) Uterine preservation or hysterectomy at sacrospinous colpopexy for uterovaginal prolapse? Int Urogynecol J 12:381–384CrossRef Maher CF, Cary MP, Slack MC, Murray CJ, Milligan M, Schluter P (2001) Uterine preservation or hysterectomy at sacrospinous colpopexy for uterovaginal prolapse? Int Urogynecol J 12:381–384CrossRef
13.
go back to reference Karram MM, Walters MD (1993) Pelvic organ prolapse: enterocele and vaginal vault prolapse. Mosby, St. Louis, pp 245–252 Karram MM, Walters MD (1993) Pelvic organ prolapse: enterocele and vaginal vault prolapse. Mosby, St. Louis, pp 245–252
14.
go back to reference MCP Slieker-ten Hove, Vierhout M, Bloembergen H, Schoemaker G (2004) Distribution of POP in the general population; prevalence, severity, etiology and relation with the function of the pelvic floor muscles. ICS, Paris MCP Slieker-ten Hove, Vierhout M, Bloembergen H, Schoemaker G (2004) Distribution of POP in the general population; prevalence, severity, etiology and relation with the function of the pelvic floor muscles. ICS, Paris
15.
go back to reference Ryhammer AM, Laurberg S, Djurhuus JC, Hermann AP (1998) No relationship between subjective assesment of urinary incontinence and pad test weight gain in a random population sample of menopausal women. J Urol 159:800–803PubMedCrossRef Ryhammer AM, Laurberg S, Djurhuus JC, Hermann AP (1998) No relationship between subjective assesment of urinary incontinence and pad test weight gain in a random population sample of menopausal women. J Urol 159:800–803PubMedCrossRef
16.
go back to reference Wyman JF, Choi SC, Harkins SW, Wilson MS, Fantl JA (2002) The urinary diary in evaluation of incontinent women: a test-retest analysis. Obstet Gynecol 71:812–817 Wyman JF, Choi SC, Harkins SW, Wilson MS, Fantl JA (2002) The urinary diary in evaluation of incontinent women: a test-retest analysis. Obstet Gynecol 71:812–817
17.
go back to reference Pohl JF, Frattarelli JL (1997) Bilateral transvaginal sacrospinous colpopexy: preliminary experience. Am J Obstet Gynecol 177(6):1356–1361PubMedCrossRef Pohl JF, Frattarelli JL (1997) Bilateral transvaginal sacrospinous colpopexy: preliminary experience. Am J Obstet Gynecol 177(6):1356–1361PubMedCrossRef
Metadata
Title
The effectiveness of the sacrospinous hysteropexy for the primary treatment of uterovaginal prolapse
Authors
Viviane Dietz
Joyce de Jong
Marieke Huisman
Steven Schraffordt Koops
Peter Heintz
Huub van der Vaart
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 11/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-007-0336-6

Other articles of this Issue 11/2007

International Urogynecology Journal 11/2007 Go to the issue