title: McCall Culdoplasty vs. Sacrospinous Ligament Fixation after vaginal hysterectomy: comparison of postoperative vaginal length and sexual function in postmenopausal women.
abstract: OBJECTIVE
  To compare preoperative and postoperative vaginal length in sexually active postmenopausal women who underwent vaginal hysterectomy with McCall Culdoplasty or Sacrospinous Ligament Fixation and investigate whether these findings are correlated with sexual function.
  
  
  METHODS
  Fifty-eight sexually active postmenopausal women planned to undergo vaginal hysterectomy during the reconstructive surgical treatment of stage 2 or 3 uterine prolapse were included. They were classified into two groups according to their self-selections. Twenty-nine women underwent McCall Culdoplasty adjunct to hysterectomy while 29 women had Sacrospinous Ligament Fixation with hysterectomy. Vaginal length was measured before and after vaginal surgery at 6-week and 6-month follow-up. Sexual function were assessed by Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12 form, preoperatively and 6 months postoperatively.
  
  
  RESULTS
  It was found that McCall Culdoplasty and Sacrospinous Ligament Fixation adjunct to vaginal hysterectomy shortened vaginal length significantly. And, the decrease in vaginal length was greater in McCall Culdoplasty group compared to Sacrospinous Ligament Fixation group. However, preoperative and postoperative sexual function questionnaire scores were not correlated with vaginal lengths.
  
  
  CONCLUSIONS
  McCall Culdoplasty or Sacrospinous Ligament Fixation adjunct to vaginal hysterectomy shortens vaginal length postoperatively. However these changes do not affect sexual function in postmenopausal women.
authors.affiliation: Zekai Tahir Burak Woman's Health Education and Research Hospital, Ankara, Turkey. Electronic address: kuntaykokanali@gmail.com.tr.
authors.forename: Mahmut Kuntay
authors.initials: MK
authors.lastname: Kokanalı
authors.affiliation: Zekai Tahir Burak Woman's Health Education and Research Hospital, Ankara, Turkey.
authors.forename: Sabri
authors.initials: S
authors.lastname: Cavkaytar
authors.affiliation: Zekai Tahir Burak Woman's Health Education and Research Hospital, Ankara, Turkey.
authors.forename: Orhan
authors.initials: O
authors.lastname: Aksakal
authors.affiliation: Zekai Tahir Burak Woman's Health Education and Research Hospital, Ankara, Turkey.
authors.forename: Melike
authors.initials: M
authors.lastname: Doğanay
mesh_terms: D004414:Dyspareunia / Q000209:etiology; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D009929:Organ Size; D017698:Postmenopause; D011184:Postoperative Period; D057234:Preoperative Period; D011446:Prospective Studies; D019529:Sexuality; D011795:Surveys and Questionnaires; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000473:pathology* / Q000601:surgery*
keywords: McCall Culdoplasty; Menopause; Sacrospinous Ligament Fixation; Vaginal length