Comparison of high uterosacral and sacrospinous ligament suspension surgeries for the treatment of pelvic organ prolapse in women
Background: Pelvic floor disorders include urinary incontinence, fecal incontinence, and pelvic floor prolapse, which are common complaints in women. Patients that suffer from uterine prolapse could benefit from surgical procedures that stabilize pelvic ligaments. Here, we aimed to compare the high...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Advanced Biomedical Research |
| Subjects: | |
| Online Access: | http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=164;epage=164;aulast=Hajhashemi |
| _version_ | 1797649483460247552 |
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| author | Maryam Hajhashemi Aazam Zafarbakhsh Minoo Movahedi Aryan Rafieezadeh Behnaz Sattari Rizi |
| author_facet | Maryam Hajhashemi Aazam Zafarbakhsh Minoo Movahedi Aryan Rafieezadeh Behnaz Sattari Rizi |
| author_sort | Maryam Hajhashemi |
| collection | DOAJ |
| description | Background: Pelvic floor disorders include urinary incontinence, fecal incontinence, and pelvic floor prolapse, which are common complaints in women. Patients that suffer from uterine prolapse could benefit from surgical procedures that stabilize pelvic ligaments. Here, we aimed to compare the high uterosacral and sacrospinous ligament suspension surgeries.
Materials and Methods: This clinical trial was performed in 2019–2021 on 64 women with uterine prolapse. Demographic data of the patients, including age, body mass index (BMI), past medical diseases, history of delivery, type of delivery, and duration of hospitalization, were collected. We assessed their urinary symptoms, prolapse degree, and sexual symptoms using the Female Sexual Function Index (FSFI) and Pelvic Floor Disability Index (PFDI-20) questionnaires before surgical interventions. Patients were divided into two groups undergoing high uterosacral and sacrospinous ligament suspension. They were followed up 6 and 12 months after surgeries.
Results: Patients treated with sacrospinous ligament suspension had higher frequencies of surgical complications (P = 0.039), and the most common complication was low back pain (15.6%). The uterine prolapse andC point degree improved significantly in all cases after 6 and 12 months (P < 0.001). The Pelvic Organ Prolapse Quantifications System (POP-Q) scores improved significantly in both groups 6 and 12 months after surgery (P < 0.001), and patients who underwent sacrospinous ligament suspension had significantly lower pain intensity compared to the other group (P = 0.003). FSFI scores improved significantly in patients treated in both groups (P < 0.001).
Conclusion: Both high uterosacral and sacrospinous ligament suspension techniques significantly improved pain, uterine prolapse, and C point degree. |
| first_indexed | 2024-03-11T15:47:45Z |
| format | Article |
| id | doaj.art-20142cbe25264ecd835d37827a030a32 |
| institution | Directory Open Access Journal |
| issn | 2277-9175 |
| language | English |
| last_indexed | 2024-03-11T15:47:45Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Advanced Biomedical Research |
| spelling | doaj.art-20142cbe25264ecd835d37827a030a322023-10-26T05:43:17ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752023-01-0112116416410.4103/abr.abr_168_22Comparison of high uterosacral and sacrospinous ligament suspension surgeries for the treatment of pelvic organ prolapse in womenMaryam HajhashemiAazam ZafarbakhshMinoo MovahediAryan RafieezadehBehnaz Sattari RiziBackground: Pelvic floor disorders include urinary incontinence, fecal incontinence, and pelvic floor prolapse, which are common complaints in women. Patients that suffer from uterine prolapse could benefit from surgical procedures that stabilize pelvic ligaments. Here, we aimed to compare the high uterosacral and sacrospinous ligament suspension surgeries. Materials and Methods: This clinical trial was performed in 2019–2021 on 64 women with uterine prolapse. Demographic data of the patients, including age, body mass index (BMI), past medical diseases, history of delivery, type of delivery, and duration of hospitalization, were collected. We assessed their urinary symptoms, prolapse degree, and sexual symptoms using the Female Sexual Function Index (FSFI) and Pelvic Floor Disability Index (PFDI-20) questionnaires before surgical interventions. Patients were divided into two groups undergoing high uterosacral and sacrospinous ligament suspension. They were followed up 6 and 12 months after surgeries. Results: Patients treated with sacrospinous ligament suspension had higher frequencies of surgical complications (P = 0.039), and the most common complication was low back pain (15.6%). The uterine prolapse andC point degree improved significantly in all cases after 6 and 12 months (P < 0.001). The Pelvic Organ Prolapse Quantifications System (POP-Q) scores improved significantly in both groups 6 and 12 months after surgery (P < 0.001), and patients who underwent sacrospinous ligament suspension had significantly lower pain intensity compared to the other group (P = 0.003). FSFI scores improved significantly in patients treated in both groups (P < 0.001). Conclusion: Both high uterosacral and sacrospinous ligament suspension techniques significantly improved pain, uterine prolapse, and C point degree.http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=164;epage=164;aulast=Hajhashemigeneral surgeryligamentsuterine prolapse |
| spellingShingle | Maryam Hajhashemi Aazam Zafarbakhsh Minoo Movahedi Aryan Rafieezadeh Behnaz Sattari Rizi Comparison of high uterosacral and sacrospinous ligament suspension surgeries for the treatment of pelvic organ prolapse in women Advanced Biomedical Research general surgery ligaments uterine prolapse |
| title | Comparison of high uterosacral and sacrospinous ligament suspension surgeries for the treatment of pelvic organ prolapse in women |
| title_full | Comparison of high uterosacral and sacrospinous ligament suspension surgeries for the treatment of pelvic organ prolapse in women |
| title_fullStr | Comparison of high uterosacral and sacrospinous ligament suspension surgeries for the treatment of pelvic organ prolapse in women |
| title_full_unstemmed | Comparison of high uterosacral and sacrospinous ligament suspension surgeries for the treatment of pelvic organ prolapse in women |
| title_short | Comparison of high uterosacral and sacrospinous ligament suspension surgeries for the treatment of pelvic organ prolapse in women |
| title_sort | comparison of high uterosacral and sacrospinous ligament suspension surgeries for the treatment of pelvic organ prolapse in women |
| topic | general surgery ligaments uterine prolapse |
| url | http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=164;epage=164;aulast=Hajhashemi |
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