Comparison of vaginal length after iliococcygeus fixation and sacrospinous ligament fixation.
OBJECTIVE
To compare vaginal length after iliococcygeus fixation (ICF) and sacrospinous ligament fixation (SSLF).


METHODS
A retrospective cohort study was performed on patients undergoing ICF or SSLF. Sixty-seven patients were identified and, of these, only 46 had complete data sets, leaving 23 patients in either group eligible for study.


RESULTS
There were no significant differences in demographic data between the 2 groups. Mean vaginal length measurements were not significantly different before and after the ICF procedure (7.7+/-0.9 cm vs 7.6+/-0.8 cm, respectively; P=0.68). However, the mean vaginal length was significantly shortened following SSLF (7.9+/-0.8 cm vs 7.1+/-1.1 cm, P=0.001). The mean vaginal lengths preoperatively (7.7+/-0.9 cm vs 7.9+/-0.8 cm, P=0.51) and postoperatively (7.6+/-0.8 cm vs 7.1+/-1.1 cm, P=0.07) were similar.


CONCLUSIONS
Iliococcygeus fixation does not significantly shorten vaginal length at the time of vaginal vault suspension, whereas the sacrospinous ligament fixation procedure does shorten vaginal length.
Medina
Carlos A
CA
Department of Obstetrics and Gynecology, Jackson Memorial Hospital/University of Miami, Miami, FL, USA. cmedina@med.miami.edu
Croce
Clara
C
Candiotti
Keith
K
Takacs
Peter
P
D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008022:Ligaments / Q000601:surgery; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery; D011184:Postoperative Period; D012189:Retrospective Studies; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina / Q000473:pathology*; D014623:Vaginal Diseases / Q000209:etiology* / Q000473:pathology