title: Sacrospinous ligament fixation for pelvic organ prolapse in the era of vaginal mesh kits.
abstract: OBJECTIVE
  To examine the sacrospinous ligament as a point of attachment for pelvic organ prolapse procedures, including vaginal mesh kits.
  
  
  RESULTS
  Pelvic surgeons are increasingly employing the sacrospinous ligament as a point of attachment for biologic grafts and synthetic mesh kits during uterovaginal prolapse repairs. These techniques may have introduced a novel set of complications (mesh extrusion, erosion) in addition to those already known to occur in traditional sacrospinous ligament fixations. Except for limited short-term results, little data are available in the literature regarding surgical outcomes and complications for mesh and graft augmented repairs attached to the sacrospinous ligament.
  
  
  CONCLUSIONS
  The sacrospinous ligament fixation is a well tolerated and effective procedure for suspension of the vaginal apex. Mesh augmentation using the sacrospinous ligament may improve objective prolapse recurrence, but complications still occur, including those specific to mesh placement.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Harbor UCLA Medical Center, Carson St., Torrance, California 90509–2910, USA. tyazdany@obgyn.humc.edu
authors.forename: Tajnoos
authors.initials: T
authors.lastname: Yazdany
authors.forename: Keri
authors.initials: K
authors.lastname: Wong
authors.forename: Narender N
authors.initials: NN
authors.lastname: Bhatia
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008023:Ligaments, Articular / Q000503:physiopathology / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000503:physiopathology / Q000601:surgery*; D012445:Sacrococcygeal Region; D055502:Secondary Prevention; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*