outcome of transvaginal sacrospinous colpopexy: King Hussein medical center short term experience

ABSTRACT

We have conducted this study to measure the outcome of vaginal sacrospinous colpopexy for the correction of vaginal vault and uterine prolapse regarding the success rate and safety. This is a descriptive study which was conducted at the Department of Obstetrics and Gynecology at King Hussein Medical Center during the period between March 2010 to September 2011. A total of 32 patients underwent vaginal sacrospinous fixation with preservation of the uterus, or combined with vaginal hysterectomy, vaginal repair and anti-incontinence procedure. The patients were re-evaluated after two weeks, two months and six months of the procedure. A specially designed medical record abstract form was used to collect the study data. Simple descriptive statistics [median, mean, frequency and percentage] were used to describe the study variables. The diagnosis of patients whom were operated included uterine prolpse in 23[72%] patients and vaginal vault prolapse in 9 [28%] patients. The operation was successful in 97% of the patients. During follow-up period, the operation was complicated with urinary tract infection in 3 [9%] patients and 2[6%] patients with low back pain. We had not encountered any intra-operative complications in relation to the procedure. The success rate for vaginal sacrospinous colpopexy operation was 97% in our series with minimal perioperative complications. It may be concluded that vaginal sacrospinous colpopexy may be safely combined with other vaginal surgeries for patients with uterovaginal prolapsed