The outcome of transvaginal sacrospinous colpopexy : King Hussein Medical Center short term experience

Abstract EN

Objective : We have conducted this study to measure the outcome of vaginal sacrospinous colpopexy for the correction of vaginal vault and uterine prolapse regarding the success rate and safety.

Methods : This is a descriptive study which was conducted at the Department of Obstetrics and Gynecology at King Hussein Medical Center during the period between March 2010 to September 2011.

A total of 32 patients underwent vaginal sacrospinous fixation with preservation of the uterus, or combined with vaginal hysterectomy, vaginal repair and anti-incontinence procedure.

The patients were re-evaluated after two weeks, two months and six months of the procedure.

A specially designed medical record abstract form was used to collect the study data.

Simple descriptive statistics (median, mean, frequency and percentage) were used to describe the study variables.

Results : The diagnosis of patients whom were operated included uterine prolpse in 23(72 %) patients and vaginal vault prolapse in 9 (28 %) patients.

The operation was successful in 97 % of the patients.

During follow-up period, the operation was complicated with urinary tract infection in 3 (9 %) patients and 2(6 %) patients with low back pain.

We had not encountered any intra-operative complications in relation to the procedure.

Conclusion : The success rate for vaginal sacrospinous colpopexy operation was 97% in our series with minimal perioperative complications.

It may be concluded that vaginal sacrospinous colpopexy may be safely combined with other vaginal surgeries for patients with uterovaginal prolapse.