Open AccessTransvaginal sacrospinous colpopexy for vaginal vault and complete genital prolapse in aged women
Author(s) -
Hein Pentti K.
Publication year - 1992
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349209021076
Subject(s) - medicine , vaginal vault prolapse , vagina , vaginal vault , surgery , uterine prolapse , asymptomatic , sex organ , hysterectomy , vaginal disease , genetics , biology
Twenty‐five women (mean age 72.8 years) with massive eversion of the vagina were treated with transvaginal sacrospinous ligament colpopexy between 1986 and 1990. Nine of them had a posthysterectomy vaginal prolapse; 16 had complete genital prolapse and coincident vaginal hysterectomy was performed. The operation was performed under spinal anesthesia in all cases except one with general anesthesia. Simultaneous anterior colporrhaphy was done in 88%, repair of enterocele in 72% and posterior colpop‐erineorrhaphy in 88% of all cases. There were no intra‐ or post‐operative complications. Vaginal vault prolapse did not recur during a mean follow‐up period of 2.8 years in 22 cases. Three patients developed asymptomatic cystocele or enterocele, and 5 (23%) women had a curtailed vagina. Sacrospinous ligament colpopexy under regional anesthesia is an effective and suitable operation for aged women with vaginal vault and complete genital prolapse. The operation is also a safe and fairly simple procedure if the anatomic relationship of the nearby structures is known.