Bilateral Sacrospinous Colposuspension (BSC) for the treatment of vaginal vault prolapse – description of a novel method

• Published in: Pelviperineology Vol. 38; no. 2; pp. 46 - 48
• Main Author: Kieback, Dirk G.
• Format: Journal Article
• Language: English
• Published: Padua Galenos Publishing House 01.06.2019
• Subjects: Vagina
• ISSN: 1973-4905; 1973-4913
• DOI: 10.34057/PPj.2019.38.02.004

Vaginal vault prolapse is observed with increasing frequency in the era of large ageing populations. Various surgical techniques have been established, varying in performance, difficulty and outcome, specifically complications. A bilateral sacrospinous colposuspension technique (BSC) with a corresponding mesh prosthesis was developed using a direct I-Stitch fixation of the 38 micro-gram mesh from the vaginal apex or uterine cervix to the sacrospinous ligament or the para-sacral tendinous region for the treatment of an anatomical central pelvic floor defect. As a minimally invasive approach with the potential for conservation of the uterus, this technique should be applicable to all age groups including the increasingly frequent elderly patient with significant comorbidities.