title: The sacrospinous vaginal vault suspension: Critical analysis of outcomes.
abstract: One hundred and three women with a preoperative diagnosis of a pelvic support defect underwent right sacrospinous fixation of the vaginal apex. The procedure was performed either therapeutically (in 63 subjects with vaginal vault eversion) or prophylactically (40 patients with severe uterovaginal prolapse), and was associated with other reconstructive procedures to repair the coexisting cystocele, enterocele or rectocele. Preoperative and postoperative assessments of each vaginal site were compared and the results in the cure of stress urinary incontinence, if present, were evaluated with regard to the type of surgery performed. The overall rate of satisfactory results in the repair of the superior vaginal defect was 94%, and good anatomic results were achieved in the repair of either enterocele or rectocele. Conversely, the repair of the anterior vaginal wall was not as good as in the posterior and superior vaginal sites. Stress urinary incontinence was successfully managed in 72% of the women using different anti-incontinence procedures.
authors.affiliation: First Department of Obstetrics and Gynecology, University of Milan, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Meschia
authors.forename: F
authors.initials: F
authors.lastname: Bruschi
authors.forename: F
authors.initials: F
authors.lastname: Amicarelli
authors.forename: P
authors.initials: P
authors.lastname: Pifarotti
authors.forename: M
authors.initials: M
authors.lastname: Marchini
authors.forename: P G
authors.initials: PG
authors.lastname: Crosignani
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008022:Ligaments / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D017060:Patient Satisfaction; D017773:Pelvic Floor / Q000002:abnormalities* / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000473:pathology / Q000601:surgery*