Pelvic support defects and visceral and sexual function in women treated with sacrospinous ligament suspension and pelvic reconstruction

Paraiso, Marie Fidela R.; Ballard, Lester A.; Walters, Mark D.; Lee, Jar Chi; Mitchinson, Allison R.

doi:10.1016/s0002-9378(96)70085-6

Cited by 235Pelvic floor disorders treatmentsUterine Myomas and TreatmentsSexual function and dysfunction studies

Pelvic support defects and visceral and sexual function in women treated with sacrospinous ligament suspension and pelvic reconstruction

Paraiso, Marie Fidela R., Ballard, Lester A., Walters, Mark D., Lee, Jar Chi, Mitchinson, Allison R.·1996·American Journal of Obstetrics and Gynecology

DOI 10.1016/s0002-9378(96)70085-6

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Abstract

Objective Our purpose was to evaluate the efficacy and consequences of sacrospinous ligament suspension and pelvic reconstruction.Study design Patients who underwent sacrospinous ligament suspension between 1978 and 1991 were evaluated from follow-up visits, telephone interviews, questionnaires, and chart reviews. Before and after operation, vaginal support was graded in three segments. Postoperative visceral and sexual function was evaluated.Results Mean length of follow-up for 243 patients was 73.6 months. Of these, 102 (42.0%) had a support defect in at least one segment; anterior, posterior, and apical defects were found in 91 (37.4%), 33 (13.6%), and 20 (8.2%) patients, respectively. A clinically significant defect was defined as a symptomatic first-degree or any second-or third-degree prolapse. Defect-free survival rates at 1, 5, and 10 years were 88.3%, 79.7%, and 51.9%, respectively. Eleven patients (4.5%) underwent subsequent pelvic reconstruction.Conclusion Sacrospinous ligament suspension and pelvic reconstruction are effective for vaginal apex support, but vaginal prolapse recurs with time, most commonly in the anterior segment.

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Sacrospinous ligament fixation is a safe, low-cost, and effective procedure in the management of apical prolapse.
“Studies have shown sacrospinous ligament fixation as a safe, low-cost, and effective procedure in the management of apical prolapse [9,14-17].”
From Recurrence Rate and Risk Factors for Apical Prolapse After Sacrospinous Ligament Fixation: A Prospective Cohort Study (2026) · cites this paper as [17]
The recurrence rate in this study is lower than rates of 42%, 35%, and 27% reported in other studies with longer follow-up.
“However, it is lower than that found in other studies [16,17,19] where rates of 42%, 35%, and 27% were reported.”
From Recurrence Rate and Risk Factors for Apical Prolapse After Sacrospinous Ligament Fixation: A Prospective Cohort Study (2026) · cites this paper as [17]

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Authors: Paraiso, M. F. R., Ballard, L. A., Walters, M. D., Lee, J. C., & Mitchinson, A. R.
Affiliations: Cleveland Clinic (US)
ORCID: Paraiso, Marie Fidela R.
Walters, Mark D.
Mitchinson, Allison R.
Venue: American Journal of Obstetrics and Gynecology
Publisher: Elsevier BV
Published: 1996-12
Volume: 175
Issue: 6
Pages: 1423-1431
ISSN: 0002-9378 (ISSN-L)
DOI: 10.1016/s0002-9378(96)70085-6
OpenAlex: W2072940249
Cited by: 235
References: 21
Citations by year: 2026: 3 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 8 · 2019: 5 · 2018: 8 · 2017: 2 · 2016: 6 · 2015: 5 · 2014: 8 · 2013: 17 · 2012: 18
FWCI: 1.74
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: American Journal of Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords: sacrospinous ligament suspension, pelvic reconstruction, pelvic organ prolapse, pelvic floor dysfunction, sexual function, visceral function, prolapse recurrence
MeSH terms: Adult, Coitus, Female, Humans, Ligaments, Middle Aged, Pelvis, Postoperative Complications, Retrospective Studies, Uterine Prolapse, Viscera, Survival Analysis, Treatment Outcome

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Pelvic support defects and visceral and sexual function in women treated with sacrospinous ligament suspension and pelvic reconstruction

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