DOAJ Open Access 2025

Sacrospinous Ligament Fixation After Failed Sacrocolpopexy: A Case Series

Yaman Degirmenci Gilbert Georg Klamminger Andrea Appel Matthias Alexa

Abstrak

ABSTRACT Recurrent apical prolapse after failed sacrocolpopexy poses a surgical challenge, with limited evidence on surgical treatments. This case series evaluates the feasibility and 1‐year outcomes of sacrospinous ligament fixation (SSLF) of the residual cervix in this setting. Three postmenopausal women with symptomatic recurrent apical prolapse underwent SSLF after prior laparoscopic sacrocolpopexy. At 3‐ and 12‐month follow‐up, all patients showed sustained apical support (POP‐Q C −8), with significant improvement in symptoms and quality of life (ICIQ‐VS scores). Mild, asymptomatic anterior compartment descent was noted in two cases. SSLF of the cervix appears to be a safe, effective, and minimally invasive alternative to redo sacrocolpopexy for selected patients with recurrent apical prolapse.

Topik & Kata Kunci

Medicine Medicine (General)

Penulis (4)

Yaman Degirmenci

Gilbert Georg Klamminger

Andrea Appel

Matthias Alexa

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APA MLA BibTeX

Degirmenci, Y., Klamminger, G.G., Appel, A., Alexa, M. (2025). Sacrospinous Ligament Fixation After Failed Sacrocolpopexy: A Case Series. https://doi.org/10.1002/ccr3.71305

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Informasi Jurnal

Tahun Terbit: 2025
Sumber Database: DOAJ
DOI: 10.1002/ccr3.71305
Akses: Open Access ✓