title: The effectiveness of the sacrospinous hysteropexy for the primary treatment of uterovaginal prolapse.
abstract: The objective of this study was to assess the effectiveness of sacrospinous ligament fixation of the uterus as a primary treatment of uterovaginal prolapse. In this observational study, 133 women underwent a sacrospinous hysteropexy. Data were obtained from their medical records, and standardized questionnaires about urogenital symptoms and quality of life were used. All women were invited for gynecological examination, using the Pelvic Organ Prolapse Quantification score. Ninety-nine women responded by returning the questionnaire (mean age, 59.2 and follow-up time, 22.5 months); 60 of these women underwent gynecologic examination. Eighty-four percent of women were highly satisfied about the outcome of the procedure. Serious complications were rare. The recurrence rate of descensus uteri that needed surgical treatment was 2.3%. The recurrence of cystoceles after surgery was 35%, but there were no differences in urogenital symptoms between women with or without a cystocele.
authors: Department of Perinatology and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands. viviane.dietz@sapio.nl
authors: Viviane
authors: V
authors: Dietz
authors: Joyce
authors: J
authors: de Jong
authors: Marieke
authors: M
authors: Huisman
authors: Steven
authors: S
authors: Schraffordt Koops
authors: Peter
authors: P
authors: Heintz
authors: Huub
authors: H
authors: van der Vaart
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000473:pathology / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery*