Subscribe to RSS
DOI: 10.1055/s-0028-1088921
Sexual function after sacrospinous fixation for vaginal vault prolapse: Bad or Mad?
Objectives:
The main indication for sacrospinous ligament suspension is to correct total procidentia or post hysterectomy vaginal vault prolapse with an associated weak cardinal uterosacral ligament complex and in post hysterectomy enterocele. Aim of this study was to evaluate sexual function and anatomical outcome in patients after sacrospinous ligament suspension.
Patients and Methods:
52 patients who had undergone sacrospinous ligament fixation during the past five years were asked to fill in the FSFI questionnaire. Patients were vaginally examined using the ICS POP Score and results compared to preoperative status. For statistics, GraphPad® for Windows version 4.0 was used.
Results:
52 patients were examined and follow-up was 38 months. No major intraoperative complications were noted. Recurrence of symptomatic apical descent was noted in 6% and de-novo prolapse in 13.5% but was symptomatic in one patient only. Three patients suffered from de-novo dyspareunia which resolved in two cases after stitch removal and sexual function was good meaning above three points per each of the domains satisfaction, lubrication, desire, orgasm and pain.
Conclusion:
Sacrospinous ligament fixation is still a valuable option for the treatment of vaginal vault prolapse. Sexual function is satisfactory with few cases of de-novo dyspareunia.
sacrospinous fixation - sexual function