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Objective : to determine the effectiveness of SSF in patients with POP at dr. Mohammad Hoesin hospital (RSMH) Palembang Methods : Randomized clinical trial (RCT) was performed at RSMH Palembang from January to September 2017. There were 30 samples of pelvic organ prolapse who met the inclusion criteria. Data frequency and distribution were described in table form, and the effectiveness of SSF was analysed by Wilcoxon / paired t-test while the effectiveness ratio was analysed by Mann Whitney / independent t-test. Data were analysed using SPSS version 16.0. Results : There were no differences in patient characteristics (age, parity, body weight, height, and occupation) between the two treatment groups (p <0.05). There were differences of breech pain (proctalgia) before and after 1, 3, and 6 months post operation in SSF group (p <0.05), in which proctalgia was more exquisite after than before surgery. The results showed that SSF was effective in reducing urinary disorders, defecation disorders, vaginal prolapse, cystocele and rectocele, and effectively improving the quality of life of POP patients. In addition, there was a difference of proctalgia and vaginal prolapse 1, 3, and 6 months after surgery between two groups where the adverse outcome of the proctalgia was more signifi cant in SSF group but the vaginal prolapse was more signifi cant in the non-SSF group. There were no differences in bleeding complications (p = 1,000) and infection (p = 1,000) between the two groups. Conclusions : Sacrospinous fi xation effectively reduced the vaginal prolapse of pelvic organ prolapse patients.

Sacrospinosus Fixation Efectivity in Pelvic Organ Prolapse Patient