Surgical outcomes and feasibility of transvaginal sacrospinous ligament fixation through anterior approach for women with pelvic organ prolapse
Introduction: Supporting vaginal vault or apex is a central component of primary therapy and to prevent recurrence of prolapse. This study aims to review the surgical outcomes and feasibility of the anterior approach following both sacrospinous fixation (SSF) and sacrospinous hysteropexy (SSHP) in a...
| 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: | Journal of Mid-Life Health |
| Subjects: | |
| Online Access: | http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2023;volume=14;issue=4;spage=280;epage=284;aulast=Agrawal |
| _version_ | 1797246169110282240 |
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| author | Mohini Agrawal Rajesh Kumari J B Sharma N Nisha Deoghare Manasi Neerja Bhatla |
| author_facet | Mohini Agrawal Rajesh Kumari J B Sharma N Nisha Deoghare Manasi Neerja Bhatla |
| author_sort | Mohini Agrawal |
| collection | DOAJ |
| description | Introduction: Supporting vaginal vault or apex is a central component of primary therapy and to prevent recurrence of prolapse. This study aims to review the surgical outcomes and feasibility of the anterior approach following both sacrospinous fixation (SSF) and sacrospinous hysteropexy (SSHP) in a single center over a specific period. And also to review its impact on quality of life. Materials and Methods: This was a retrospective study that included all women who underwent unilateral SSF or SSHP through anterior approach for pelvic organ prolapse (POP) from May 2021 to May 2023 after institutional ethical approval for the study. The anterior approach was undertaken in 47 patients which were included in final review. A retrospective case note review to assess urinary symptoms was undertaken at baseline and 3 months by urinary distress inventory 6 score. The main outcome measure was recurrence of prolapse, predominant compartment for prolapse, presenting complaints, concomitant surgeries performed, and associated urinary complaints. Results: The mean age was 56.17 ± 11.95 years and the average body mass index was 26.12 ± 3.11 kg/m2. Except for 4 cases of SSHP, remaining women were postmenopausal at the time of surgery. Ten women presented with urinary complaints as their chief complaint. On examination, POP Quantification evaluation, 35 cases have Ba as leading point, 10 have Ap as their leading point and in two cases C was the leading point. Conclusion: Anterior unilateral sacrospinous ligament fixation is a safe, effective strategy to treat POP and other concomitant surgery can also be well combined with it. |
| first_indexed | 2024-04-24T19:38:31Z |
| format | Article |
| id | doaj.art-55d5d46de66246b99e624dfa7ed79556 |
| institution | Directory Open Access Journal |
| issn | 0976-7800 0976-7819 |
| language | English |
| last_indexed | 2024-04-24T19:38:31Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Mid-Life Health |
| spelling | doaj.art-55d5d46de66246b99e624dfa7ed795562024-03-25T11:28:16ZengWolters Kluwer Medknow PublicationsJournal of Mid-Life Health0976-78000976-78192023-01-0114428028410.4103/jmh.jmh_224_23Surgical outcomes and feasibility of transvaginal sacrospinous ligament fixation through anterior approach for women with pelvic organ prolapseMohini AgrawalRajesh KumariJ B SharmaN NishaDeoghare ManasiNeerja BhatlaIntroduction: Supporting vaginal vault or apex is a central component of primary therapy and to prevent recurrence of prolapse. This study aims to review the surgical outcomes and feasibility of the anterior approach following both sacrospinous fixation (SSF) and sacrospinous hysteropexy (SSHP) in a single center over a specific period. And also to review its impact on quality of life. Materials and Methods: This was a retrospective study that included all women who underwent unilateral SSF or SSHP through anterior approach for pelvic organ prolapse (POP) from May 2021 to May 2023 after institutional ethical approval for the study. The anterior approach was undertaken in 47 patients which were included in final review. A retrospective case note review to assess urinary symptoms was undertaken at baseline and 3 months by urinary distress inventory 6 score. The main outcome measure was recurrence of prolapse, predominant compartment for prolapse, presenting complaints, concomitant surgeries performed, and associated urinary complaints. Results: The mean age was 56.17 ± 11.95 years and the average body mass index was 26.12 ± 3.11 kg/m2. Except for 4 cases of SSHP, remaining women were postmenopausal at the time of surgery. Ten women presented with urinary complaints as their chief complaint. On examination, POP Quantification evaluation, 35 cases have Ba as leading point, 10 have Ap as their leading point and in two cases C was the leading point. Conclusion: Anterior unilateral sacrospinous ligament fixation is a safe, effective strategy to treat POP and other concomitant surgery can also be well combined with it.http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2023;volume=14;issue=4;spage=280;epage=284;aulast=Agrawalanterior approachconcomitant surgeriessacrospinous fixationsacrospinous hysteropexyurinary distress inventory 6 score |
| spellingShingle | Mohini Agrawal Rajesh Kumari J B Sharma N Nisha Deoghare Manasi Neerja Bhatla Surgical outcomes and feasibility of transvaginal sacrospinous ligament fixation through anterior approach for women with pelvic organ prolapse Journal of Mid-Life Health anterior approach concomitant surgeries sacrospinous fixation sacrospinous hysteropexy urinary distress inventory 6 score |
| title | Surgical outcomes and feasibility of transvaginal sacrospinous ligament fixation through anterior approach for women with pelvic organ prolapse |
| title_full | Surgical outcomes and feasibility of transvaginal sacrospinous ligament fixation through anterior approach for women with pelvic organ prolapse |
| title_fullStr | Surgical outcomes and feasibility of transvaginal sacrospinous ligament fixation through anterior approach for women with pelvic organ prolapse |
| title_full_unstemmed | Surgical outcomes and feasibility of transvaginal sacrospinous ligament fixation through anterior approach for women with pelvic organ prolapse |
| title_short | Surgical outcomes and feasibility of transvaginal sacrospinous ligament fixation through anterior approach for women with pelvic organ prolapse |
| title_sort | surgical outcomes and feasibility of transvaginal sacrospinous ligament fixation through anterior approach for women with pelvic organ prolapse |
| topic | anterior approach concomitant surgeries sacrospinous fixation sacrospinous hysteropexy urinary distress inventory 6 score |
| url | http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2023;volume=14;issue=4;spage=280;epage=284;aulast=Agrawal |
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