Effectiveness of sacrospinous colpopexy in vault prolapse patients.

Lee, Chung Won; Kim, Jeong; Kim, Sue Yeon; Cheon, So Hee; Chang, Tong Gyu; Choi, Joo Hyuk; Seo, Kyoung Yun; Moon, Hee Bong; Koh, Young Me; Kim, Chang Yi

Original Article

Korean Journal of Obstetrics & Gynecology 2005;48(1):169-175.
Published online January 1, 2005.

Effectiveness of sacrospinous colpopexy in vault prolapse patients.

Chung Won Lee, Jeong Kim, Sue Yeon Kim, So Hee Cheon, Tong Gyu Chang, Joo Hyuk Choi, Kyoung Yun Seo, Hee Bong Moon, Young Me Koh, Chang Yi Kim

Department of Obstetrics and Gynecology, School of Medicine, Catholic University, St. Paul Hospital, Seoul, Korea. membrane76@hanmail.net

Abstract

OBJECTIVE
To evaluate the effectiveness of sacrospinous colpopexy in vault prolapse patients. METHODS: It is the retrospective study including 10 vault prolapse patients who received sacrospinous colpopexy at St. Paul Hospital, the Catholic University from July 1999 to April 2004. RESULTS: The 10 patients receiving sacrospinous colpopexy had the average age of 58.9 years, and the parity of 3.4. They were moderately overweighted with average BMI of 24.5. The average period from hysterectomy to diagnosis of vault prolapse was 11.1 years. Hypertension was noted on most of patients (70.0%). The average operation time was 68.5 minutes and postoperative hemoglobin decrement was 2.4 on average. During 2-month period of postoperative follow-up, there were no significant complications noted except one case of wound infection associated with diabetes and one case of transfusion due to anemia. After sacrospinous colpopexy, protruding mass out of vagina was resolved on 100% and urologic and other complications were improved over 50% of cases. CONCLUSION: Considering that several underlying medical conditions such as hypertension, obesity are associated with vault prolapse patients, sacrospinous colpopexy in case of vault prolapse is an excellent operative approach with low complication and recurrence rates.

Key Words: Vault prolapse, Sacrospinous colpopexy