Bilateral anterior sacrospinous ligament suspension  associated with a paravaginal repair with mesh: short-term  clinical results of a pilot study.
OBJECTIVE
This study aims to assess anatomical and functional results of bilateral anterior sacrospinous ligament suspension associated with paravaginal repair with mesh.


METHODS
Forty-eight patients were operated between March 2007 and August 2008. Mean age was 67 years old. Nineteen patients (39.6%) had been previously operated for a genital prolapse. All patients had both anterior vaginal wall prolapse and a level 1 defect; stage 2 to 4 (POP-Q).


RESULTS
Median follow-up is 8 months (range 1 to 18). Perioperative complications were: one bladder injury (2.1%), three haematomas (6.3%), two ureteral kinking (4.2%) and two sciatic pain (4.2%). Anatomical success was observed in 47/48 patients (97.9%) for uterine or vaginal vault prolapse and 46/48 patients (95.8%) for anterior vaginal wall prolapse.


CONCLUSIONS
This procedure is a challenging surgical technique requiring a significant level of skill and training, which yields a very high success rate; however, it is not without potential ureteral and neurologic complications.
de Tayrac
Renaud
R
Obstetrics and Gynaecology Department, Caremeau University Hospital, Place du Pr Robert Debré, 30029 Nîmes Cedex 9, France. renaud.detayrac@chu-nimes.fr
Boileau
Laurent
L
Fara
Jean-François
JF
Monneins
François
F
Raini
Charles
C
Costa
Pierre
P
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D010865:Pilot Projects; D011126:Polypropylenes / Q000627:therapeutic use; D013526:Surgical Mesh; D016896:Treatment Outcome
D011126:Polypropylenes