Shalini Mahana Valecha and Divija Dhingra
The objective of this study was to assess various aspects of sacrospinous fixation for women with vault prolapse or uterovaginal prolapse. The study group consisted of 17 women operated for various indications. Sacrospinous colposuspension was done therapeutically, or prophylactically to prevent future vault prolapse. Fortunately, they were following up regularly. They remained significantly asymptomatic in terms of recurrence of prolapse, quality of life, urogenital symptoms. Sexual function was un-hampered as very little vagina needed to be sacrificed. Minor complaints specific to the procedure were few. Mean excess blood loss from the procedure was barely 30-50cc. Additionally, 20-40 minutes were required to complete this surgery. Mean duration of hospital stay post-operatively was 3-5 days. Short and long term satisfaction levels were high. Though vagina was slightly distorted due to the unilateral fixation, it did not interfere with sexual function due to good vaginal length and depth, a direct benefit of the procedure.
