Peer-reviewed veterinary case report
Sacrospinous Ligament Fixation After Failed Sacrocolpopexy: A Case Series.
- Year:
- 2025
- Authors:
- Degirmenci Y et al.
- Affiliation:
- Department of Obstetrics and Gynecology University Medical Center of the Johannes Gutenberg University Mainz Mainz Germany. · Germany
Abstract
Recurrent apical prolapse after failed sacrocolpopexy poses a surgical challenge, with limited evidence on surgical treatments. This case series evaluates the feasibility and 1-year outcomes of sacrospinous ligament fixation (SSLF) of the residual cervix in this setting. Three postmenopausal women with symptomatic recurrent apical prolapse underwent SSLF after prior laparoscopic sacrocolpopexy. At 3- and 12-month follow-up, all patients showed sustained apical support (POP-Q C -8), with significant improvement in symptoms and quality of life (ICIQ-VS scores). Mild, asymptomatic anterior compartment descent was noted in two cases. SSLF of the cervix appears to be a safe, effective, and minimally invasive alternative to redo sacrocolpopexy for selected patients with recurrent apical prolapse.
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Search related cases →Original publication: https://europepmc.org/article/MED/41127695