Bilateral sacrospinous fixation after second recurrence of vaginal vault prolapse: efficacy and impact on quality of life and sexuality

Salvatore Giovanni Vitale1, Diego Rossetti2, Marco Noventa3, Maria Giovanna Scarale4, Amerigo Vitagliano3, Salvatore Butticè5, Valentina Lucia La Rosa6, Antonio Biondi7, Antonio Simone Laganà1.

1 Unit of Gynecology and Obstetrics, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy.
2 Unit of Gynecology and Obstetrics, Desenzano del Garda Hospital, Section of Gavardo, Gavardo, Brescia, Italy.
3 Department of Woman and Child Health, University of Padua, Padua, Italy.
4 Department of Clinical and Community Sciences, University of Milan, Milan, Italy.
5 Department of Human Pathology, Unit of Urology, University of Messina, Messina, Italy.
6 Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Catania, Italy.
7 Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.

 

ABSTRACT
Purpose. We aimed to study the efficacy of transvaginal bilateral sacrospinous fixation (TBSF) and its impact on quality of life (QoL) and sexual functions in women affected by second recurrences of vaginal vault prolapse (VVP).
Materials and methods. We performed a prospective observational study on 20 sexually active patients affected by second recurrence of VVP, previously treated with monolateral sacrospinosus fixation. TBSF was performed in all the patients. They were evaluated before the surgery and at 12 months follow-up through pelvic organs prolapse quantification (POP-Q) system, Short Form-36 (SF-36) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12).
Results. At 12 months follow-up, 18 of 20 (90%) patients had been cured of their recurrent VVP. No major intra- and post-operative complications occurred. We found a significant improvement in 4/5 POP-Q landmarks (excluding total vaginal length), SF-36 and PISQ-12 scores.
Conclusion. According to our data analysis, TBSF appears to be safe, effective and able to improve both QoL and sexual functions in patients affected by second recurrence of VVP after previuos monolateral sacrospinosus fixation.

 

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