Bilateral sacrospinous fixation without hysterectomy: 18-month follow-up

Objective: the aim of this study was to evaluate the results of bilateral sacrospinous fixation (ssf),which was performed with surgical mesh interposition and bilateral vaginal repair. material and methods: twenty-two patients underwent ssf between 2010 and 2012,and the results were evaluated retrospectively. the results at preoperative and postoperative 6th,12th,and 18th months of the pelvic organ prolapse quantification system (pop-q) and the pelvic organ prolapse/urinary incontinence sexual questionnaire-12 (pisq-12) were compared using friedman and wilcoxon signed ranks tests. values of p<0.05 and <0.01 were considered statistically significant. results: according to the pop-q,significant healing was observed on all vaginal vault points (p=0.001),and no prolapse was observed until the 18-month follow-up stage. there were also prominent patients who felt satisfactory with respect to their sexual life according to pisq-12 (p=0.001). conclusion: this technique appears to provide an adequate clinical resolution,and it may be the primary surgical option for women with pelvic organ prolapse. © 2015 by the turkish-german gynecological education and research foundation.