Transperineal bilateral sacrospineous colpofixation for the treatment of female genital prolapse – 5-year results

• Published in: Pelviperineology Vol. 39; no. 2; pp. 60 - 64
• Main Authors: HEMPTENMACHER, FRANZISKA C., OLLIG, STEFAN, SÜSSE, ANDREAS, KIEBACK, DIRK G.
• Format: Journal Article
• Language: English
• Published: Padua Galenos Publishing House 01.06.2020
• Subjects: Hysterectomy; Intervention; Ligaments; Pain; Patient satisfaction; Pelvis; Prostheses; Quality of life; Surgery; Uterus; Vagina
• DOI: 10.34057/PPj.2020.39.02.006
• ISSN: 1973-4905

Objective: Female genital prolapse is observed with increasing frequency in the era of large aging populations. Various surgical techniques have been established, varying in performance, difficulty and outcome, specifically complications. In order to optimize both aspects, we have developed a refined transperineal bilateral sacrospineous colpofixation technique (TPBCF) and given a detailed, step-by-step description of the technique. Materials and Methods: In a study of 162 patients with vaginal prolapse surgical and functional outcomes of TPBCF have been evaluated with 5-year follow-up. Results: No rectal injury was observed re-intervention for any complications was limited to three erosions with only one requiring resection of 2 cm of tape in the median position followed by successful re-closure. Prolapse correction was found at 5 years to be 61% POPQ 0 and 39% POPQ1. Conclusion: These results were stable when compared with follow-up data at 6 months postoperatively. The authors conclude, that TPBCF is an efficient minimally invasive technique for the treatment of female genital prolapse with a favourable effect/complication ratio.