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Comparison of the Results of Sacrospinous Fixation and Abdominal Sacrocolpopexy Surgery
Derya Uyan Hendem1, Hasan Cemal Ark21Department of Obstetrics and Gynecology, Division of Perinatology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey2Department of Obstetrics and Gynecology, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey
INTRODUCTION: The present study aims to compare the objective and subjective success rates, perioperative and postoperative complications, and results of abdominal sacral colpopexy (SP) and sacrospinous fixation (SSF) operations applied in the treatment of apical pelvic organ prolapse.
METHODS: Between November 2007 and April 2013, among the patients with the apical organ prolapse, 34 patients who underwent abdominal sacral colpopexy (SP) and 39 patients who underwent vaginal sacrospinous fixation (SSF) were included in the study. The physical examination, sonographic evaluation, stress test and urodynamic test had been performed preoperatively. The patients were assessed average 35 month after abdominal sacral colpopexy and average 8 month after sacrospinous fixation, all parameters were compared with preoperative values. We compared objective and subjective success rate, operating time, inpatient day, return to activities of daily living and complication of abdominal and vaginal groups.
RESULTS: Mean follow-up time was 35 months for abdominal group and 8 months for vaginal group. Objective anatomic success rate was 76,9% in the vaginal group and 85,3% in the abdominal group(p=0,365); Subjective success rate was 84,62% in the vaginal group and 91,18% in the abdominal group(p=0,395). There was no major complication perioperatively in both groups.
DISCUSSION AND CONCLUSION: Abdominal sacrocolpopexy and sacrospinous fixation are the surgical procedures in the treatment of apical pelvic organ prolapsus which have high success rate and low complication rate.
Manuscript Language: English