title: Long-term surgical outcomes of vaginal sacrospinous ligament fixation in women with pelvic organ prolapse.
abstract: OBJECTIVE
  Few studies have demonstrated the effects of the sacrospinous ligament fixation (SLF) in the long-term period. Aim of the study was to evaluate the short- and long-term outcomes of SLF.
  
  
  METHODS
  This was a longitudinal cohort study. Fifty-one patients who had undergone SLF were evaluated postoperatively at 1 and 7 years. The characteristics of patients, intra- and postoperative complications, length of hospital stay period, short and long-term outcomes of the surgeries were recorded. Objective success was evaluated by vaginal and POP-Q examination at 1 and 7 years postoperatively.
  
  
  RESULTS
  Out of 51 patients, 46 (90.19%) patients underwent vaginal hysterectomy, 36 (70.58%) patients anterior colporrhaphy, 31 (60.78%) patients posterior colporrhaphy and 11 (21.56%) patients transobturator tape concomitantly with SLF. The differences of Aa, Ba, Ap, Bp and total vaginal length (TVL) scores between preoperative, postoperative at 1 and 7 years were statistically significant (P<0.001). Cystocele rate, at 1 year and at 7 years, were 8 out of 51 (15.68%) and 9 out of 35 (25.71%), respectively. The objective cure rate for the apical vaginal vault prolapse at 1 year and at 7 years were 96% (49/51) and 94.28% (33 /35), respectively.
  
  
  CONCLUSIONS
  SLF is an appropriate and safe treatment procedure in patients with vaginal vault prolapse in the seven years of follow-up period.
authors.affiliation: Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey - dronurtopcu@gmail.com.
authors.forename: O
authors.initials: O
authors.lastname: Aksakal
authors.forename: M
authors.initials: M
authors.lastname: Doğanay
authors.forename: H
authors.initials: H
authors.lastname: Onur Topçu
authors.forename: K
authors.initials: K
authors.lastname: Kokanali
authors.forename: S
authors.initials: S
authors.lastname: Erkilinç
authors.forename: S
authors.initials: S
authors.lastname: Cavkaytar
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal; D007902:Length of Stay; D008022:Ligaments / Q000601:surgery*; D008137:Longitudinal Studies; D008875:Middle Aged; D012445:Sacrococcygeal Region; D013536:Suture Techniques; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000209:etiology / Q000473:pathology / Q000601:surgery*