Unilateral Sacrospinous Ligament Fixation for the Treatment of Stage 3-4 Utero-Vaginal Prolapse: Single-Centre Experiences

Pelvic organ prolapse (POP) is becoming a major health problem, especially in older women. This study aimed to explore the efficacy, safety and potential risk factors for the recurrence of unilateral sacrospinous fixation (SSLF) for the management of severe prolapse. From January 2010-March 2015, 43 patients who underwent unilateral SSFL for stage 3-4 prolapses were retrospectively investigated. A total 43 patients were included in the study. The mean follow-up period was 30.6917.4 months. Three (6.9%) patients showed recurrent apical prolapse. In addition, 15 patients (34.8%) had asymptomatic cystocele. Eleven patients (25.5%) complained of gluteal or lower back pain that resolved spontaneously after 12 weeks. There was no relationship observed between the POP recurrence and patient's age, duration or stage of POP, duration of menopause status (p=0.05).