[PDF] Comparison of Unilateral and Bilateral Sacrospinous Ligament Fixation Using Minimally Invasive Anchorage | Semantic Scholar (2024)

FAQs

What is the success rate of sacrospinous ligament fixation? ›

This blood is usually quite thin and old, brownish looking and is the result of the body breaking down blood trapped under the skin. What are the chances of success? Quoted success rates for sacrospinous fixation and ileococ- cygeus suspension are between 80 to 90%.

Frequently occurring risks: vagin*l bleeding or wound infection (one in 10); urinary infection, retention, and or frequency; post-operative pain and difficulty or pain with intercourse (one in 10 to one in 100); persistent buttock pain (three in 100).

A sacrospinous fixation involves supporting the vagin*l vault using stitches to fix it to a strong ligament inside the pelvis. The operation is performed through the vagin* and is often performed at the same time as other prolapse operations such as vagin*l hysterectomy, anterior and posterior repair.

The wound is not normally very painful but sometimes you may require tablets or injections for pain relief. There will be slight vagin*l bleeding (like the end of a period) after the operation. This may last for a few weeks.

You will see Dr Maher at 6 weeks for a review and sexual activity can usually be safely resumed at this time. You can return to work at approximately 4-6 weeks depending on the amount of strain that will be placed on the repair at your work and on how you feel.

Obliterative surgery narrows or closes off the vagin* to provide support for prolapsed organs. Sexual intercourse is not possible after this procedure. Obliterative surgery has a high success rate and may be a good choice if you do not plan to have sex in the future and want an easily performed procedure.

Background: Sacrospinous colpopexy requires the placement of a suture through the sacrospinous ligament, under which lies the pudendal nerve. Entrapment of this nerve may result in perineal or buttock pain.

The inferior gluteal artery is probably the most commonly injured vessel in sacrospinous ligament suspension because of its location. Inferior gluteal vessel injury should be approached by the use of packing and vascular clips or packing and arterial embolization.

The motion of the ilium with respect to the sacrum is known as nutation and counternutation, which equate to anterior sacral tilt and posterior sacral tilt, respectively. The sacrotuberous and sacrospinous ligaments resist nutation, while the long dorsal ligaments resist counternutation of the joint.

The EnPlace^® device is a novel minimally invasive tool allowing transvagin*l sacrospinous ligament (SSL) fixation of apical pelvic organ prolapse (POP).

What can you not do after prolapse surgery? ›

Walking boosts blood flow and helps prevent blood clots, pneumonia, and constipation. Avoid lifting anything that will make you strain—which includes lifting a child, a vacuum, or grocery bags—for about 4 to 6 weeks after surgery.

Because the ligament is deep in the right buttock, it is normal to feel pain or discomfort there for up to 3 months after surgery. The pain will gradually decrease as the stitches dissolve and normal after-surgery swelling goes away. When is this surgery used? It is used to repair vagin*l prolapse.

Quoted success rates for sacrospinous fixation and ileococcygeus suspension are between 80-85%. However, there is a chance that the prolapse might come back in the future, or another part of the vagin* may prolapse for which you would need further surgery.

Sacrospinous ligament fixation is a recognized procedure for apical support. Complications from sacrospinous ligament fixation include pain (buttock and leg) and bleeding. There is some debate as to the optimal location for placement of the sacrospinous fixation sutures.

Your vagin* may become narrower after the operation. This can make sexual intercourse difficult, especially if the operation is performed on the front and back vagin*l walls at the same time. Scar tissue may also cause discomfort with intercourse which is usually temporary but may persist.

Function. The sacrospinous and sacrotuberous ligaments assist in pelvic stability. The ligament works with the sacrotuberous ligament to prevent rotation of the illum past the sacrum thus preventing excessive twisting of the pelvis, low back pain, and SIJ strain.

Also: A recent study suggests that entering menopause later in life may be associated with a small boost in memory performance years later. Results of a recent extended study of prolapse surgery showed that in 60% of women, two common procedures failed within 5 years.

Healthcare providers usually only recommend surgical repair for rectocele if you have bothersome symptoms — like vagin*l bulge, difficulty pooping, pain or sexual dysfunction — and nonsurgical treatments don't help.