title: Uncommon complications of sacrospinous fixation for treatment of vaginal vault prolapse.
abstract: OBJECTIVE
  The present study was undertaken to evaluate uncommon complications following transvaginal sacrospinous colpopexy for treatment of vaginal vault prolapse.
  
  
  METHODS
  A series of three patients who developed uncommon complications following sacrospinous fixation are reported. A 64-year-old patient undergoing bilateral sacrospinous colpopexy for the treatment of an ICS stage III vaginal vault prolapse developed a perineal necrotizing infection. Another patient, a 69-year-old woman with total vaginal vault prolapse and anterior vaginal wall defect (ICS stage II), underwent a right transvaginal sacrospinous colpopexy and anterior repair, presenting postoperatively with a perineal hernia. The third case consisted of a 71-year-old woman who underwent a right sacrospinous colpopexy with paravaginal repair, rectocele repair, and perineorrhaphy for treatment of an ICS stage III post-hysterectomy vaginal vault prolapse, stage II cystocele secondary to a bilateral paravaginal defect, and a stage II rectocele. Six months later the patient developed a left lateral enterocele, which was successfully repaired with a left sacrospinous ligament fixation.
  
  
  CONCLUSIONS
  Etiological factors and treatment considerations for these uncommon complications of sacrospinous colpopexy are discussed in detail, and prophylactic measures, when applicable, are emphasized.
authors.affiliation: Department of Gynecology and Obstetrics, Federal University of Minas Gerais School of Medicine, Avenida Pasteur, 89/1310 Santa Efigênia, Belo Horizonte, Brazil. agsilvaf@terra.com.br
authors.forename: Agnaldo L
authors.initials: AL
authors.lastname: Silva-Filho
authors.forename: Admário S
authors.initials: AS
authors.lastname: Santos-Filho
authors.forename: Octacílio
authors.initials: O
authors.lastname: Figueiredo-Netto
authors.forename: Sérgio A
authors.initials: SA
authors.lastname: Triginelli
mesh_terms: D000368:Aged; D001424:Bacterial Infections / Q000209:etiology / Q000628:therapy; D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000628:therapy; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006547:Hernia / Q000175:diagnosis / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D009336:Necrosis; D010502:Perineum / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis* / Q000628:therapy; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*