[Sacrospinous ligament vaginal vault fixation--method, results and a one-year follow up in 10 patients].
OBJECTIVE
The aim of the study was to present the author's experience in sacrospinous ligament vaginal vault fixation--description of procedure and estimation of procedure efficacy at 2, 6, and 12 months after the operation.


METHODS
This study was a prospective analysis of a one-year follow up of ten women with vaginal vault prolapse, who underwent sacrospinous ligament vaginal vault fixation after previous hysterectomy.


METHODS
Ten women with prolapsed vagina after previously preformed hysterectomy hospitalised since September 2001 until Jun 2002 at Department of Surgical and Endoscopical Gynaecology at the Polish Mother's Memorial Institute in Lódź, underwent successful SSLF.


RESULTS
Good post operative effect was achieved in all treated patients. There were no significant intraoperative complications. The average procedure's time was 38 minutes. The time of hospitalisation after surgery was 4 days. At control examinations at 2, 6 and 12 months after the operation, normal anatomic relations were stable. None of the patients had recurrence of pelvic floor disorders. Narrowing or shortening of vagina was not detected in any case. In nine operated patients sexual activity was remaining.


CONCLUSIONS
We suggest, based on presented data, that suspension of vagina to sacrospinosus ligament can be effective and safe method of surgery for women with vaginal vault prolapse after hysterectomy.
Malinowski
Andrzej
A
Instytut Centrum Zdrowia Matki Polki w Lodzi, Klinika Ginekologii Operacyjnej i Endoskopwej, Lódź.
Pawłowski
Tadeusz
T
Maciołek-Blewniewska
Grazyna
G
Augustyniak
Tomasz
T
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000592:standards; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D012445:Sacrococcygeal Region; D013997:Time Factors; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*