1Department of Obstetrics and Gynaecology, JJM Medical College, Davangere
2(OBG), JJM Medical College, Davangere
*Corresponding author: Saroja C Kamatar, Assistant Professor, Department of Obstetrics and Gynaecology, J J M Medical College, Davangere -577004, Karnataka. Mob: 09886710853. Fax: 08192-231388. E-mail: saroja.kamatar7@gmail.com
Online published on 27 May, 2015.
Genital prolapse is a common problem encountered in gynaecological practice. Vaginal hysterectomy with repair of pelvic floor as a treatment option for uterovaginal prolapse has an increased risk of post hysterectomy vault prolapse. Transvaginal sacrospinous fixation is one such procedure which prevents subsequent vault prolapse.
An institutional based prospective study was conducted from October 2009 to July 2011. Thirty women with advanced uterovaginal prolapse were treated with unilateral (right sided) sacrospinous fixation during vaginal hysterectomy. The outcome was analysed in terms of effectiveness of fixation for vault prolapse, intra and post-operative morbidity and recurrence.
Transvaginal sacrospinous fixation is a safe and effective procedure indicated in advanced uterovaginal prolapse with an advantage of less anaesthetic risk and allowing for simultaneous repair of other defects. Operative time is less. Complications and recurrence are minimal. Blood loss is minimally increased which can be managed by timely blood transfusion.
Sacrospinous Colpopexy, Vault Prolapse, Genital Prolapse
