11/2/2022 0 Comments Vaginal obliterationThe prevalence of POP reaches 3–6% as measured by symptoms and up to 50% by vaginal examination 1. Pelvic organ prolapse (POP) occurs when the female bladder, uterus, vaginal stump, small bowels and/or large bowels descend into the vagina. In conclusion, SSLF provides excellent support to the apex compartment, and our long-term results show that the anterior compartment is the most commonly encountered type of POP recurrence. Paravaginal repair is frequently implemented in the management of recurrent anterior prolapse. A comparison of the site of recurrence found that anterior compartment prolapse was the most common with 57 cases (12.6%). The Kaplan-Meier recurrence-free analysis showed a steep decline during the first postoperative year, and the yearly number of recurrent patients decreased as the follow-up period proceeded. The objective cure rate was 82.5%, and 79 (17.5%) patients recurred. The intraoperative blood loss was 92.3 ± 91.4 ml. The mean operation time was 92.3 ± 31.5 minutes. Concomitant anterior colporrhaphy was performed in 75.3% of the cases and posterior colporrhaphy in 78.6%. All patients received unilateral SSLF with Veronikis ligature carrier. The 453 women with POP who underwent SSLF at National Taiwan University Hospital in the period from 2002 to 2015 are reviewed. We conducted a large-series study of SSLF in a tertiary center by an experienced urogynecologic team. Sacrospinous ligament fixation (SSLF) is one of the most utilized surgeries in the management of pelvic organ prolapse (POP).
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