Sacrospinous ligament fixation: medium and long-term anatomical results, functional and quality of life results
Open accessAbstract
Background: To evaluate the medium and long-term anatomical results of sacrospinous ligament fixation (SLF) and its impact on quality of life (QoL). Methods: We conducted a retrospective and observational single centre study. Fifty-nine patients were interviewed using the Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire and underwent physical examination using POP-Q several years after SLF. Primary outcome was the comparison of anatomic results of SLF at medium-term (group 1: 1–5 years after surgery) and long-term (group 2: more than 5 years after surgery). The secondary outcome was QoL evaluation. Results: The overall recurrence and complication rates were respectively 22% and 10%, with no significant differences between groups 1 and 2. The recurrence rate was similar in both groups [twelve (35%) in group 1 and nine (20%) in group 2, p = 0.09]. Two patients (12%) in the recurrence and none in the no recurrence group had clinical symptoms (p = 0.08). Two patients (12%) in the recurrence and one patient (2%) in the no-recurrence group had a significant impact on their quality of life (p = 0.12). Conclusion: This study showed sustainable anatomic and functional results of SLF in medium and long-term analysis with overall low morbidity.
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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 [16]
The Discussion reports recurrence rates of 42% and 27% in other studies, but does not report 35% for another study. The Results give 35% for a subgroup of this paper’s own patients. The Discussion also says most studies had shorter observation periods, so it does not establish that all three cited rates came from studies with longer follow-up. No page numbers are available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredSacrospinous 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 [16]
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- Authors
- Favre-Inhofer, A., Carbonnel, M., Murtada, R., Revaux, A., Asmar, J., & Ayoubi, J.-M.
- Affiliations
- Université de Versailles Saint-Quentin-en-Yvelines (FR)
- Hôpital Foch (FR)
- Venue
- BMC Women's Health
- Published
- 2021-02-12
- Volume
- 21
- Issue
- 1
- Pages
- 66-66
- ISSN
- 1472-6874 (ISSN-L)
- PMC
- PMC7881556
- OpenAlex
- W3126756773
- Cited by
- 17
- References
- 28
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 4
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Women s Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Keywords
- sacrospinous ligament fixation, pelvic organ prolapse, pelvic floor reconstruction, long-term outcomes, quality of life, Pelvic Floor Distress Inventory, POP-Q, postoperative complications
- MeSH terms
- Female, Humans, Ligaments, Neoplasm Recurrence, Local, Quality of Life, Surveys and Questionnaires, Retrospective Studies, Gynecologic Surgical Procedures, Vagina, Treatment Outcome, Pelvic Organ Prolapse
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