1Assistant Professor, Obstetrics Gynaecology, Shaikhul Hind Maulana Mahmood Hasan Medical College, Saharanpur, Uttar Pradesh
2Assistant Professor, Obstetrics Gynaecology, Vardhman Mahavir Medical College Safdarjung Hospital, New Delhi
3Assistant Professor, Obstetrics Gynaecology, Lady Harding Medical College Smt. Sucheta Kriplani Hospital, New Delhi
4Professor, Obstetrics Gynaecology, Faculty of Medical Health Sciences, SGT University, Budhera, Gurgaon, Haryana
5Consultant Professor, Obstetrics Gynaecology, Vardhman Mahavir Medical College Safdarjung Hospital, New Delhi
6Scientist F, National Institute of Medical Statistics, ICMR, New Delhi
*Corresponding author: Dr Savita Verma, Assistant Professor, Shaikhul Hind Maulana Mahmood Hasan Medical College, Saharanpur, email: idsavita. sathi@gmail.com
Online published on 12 August, 2016.
To study and access the role of Sacrospinous Hysteropexy as a primary treatment of uterovaginal prolapse in terms of anatomical outcomes, surgical efficiency, complications, quality of life issues such as urinary, defecatory and sexual functions and overall patient satisfaction.
Twenty women with stage 2–4 uterine descent were included in the study and underwent SSH. Anatomical outcomes (using POPQ), surgical efficiency (Blood-loss, Operative-time), complications, quality-of-life (validated questionnaires: PFDI-20 and PFIQ-7) and overall patient satisfaction (Likert's scale) were measured. Follow-up was done at 1-month, 3-months and 6-months.
SSH was found to have excellent surgical efficiency, with the mean blood loss of 209±79.96 ml and the intra-operative time of 93.2 ± 28.1 minutes. There were no immediate complications, only one delayed complication associated with procedure was buttock pain at 1-month which got relieved at 6-month. The functional outcomes were also good, with 84% improvement in both PFDI and PFIQ scores. Dyspareunia was complained by 6.25% women. There were few recurrent prolapse of the apical compartment at 6 month (30%). 65% of patients recommended SSH to other patients whereas 20% were neutral. Overall patient satisfaction rate was found to be 85%.
SSH is associated with excellent surgical efficiency, good functional outcomes/quality of life and high patient satisfaction but few recurrent apical prolapse.
Sacrospinous Hysteropexy, Evaluation, Anatomical Outcomes, Pelvic floor distress inventory-20, Pelvic floor impact questionaire-7
