A Sacrospinous Ligament Fixation Under Local Anesthesia in Djibouti

Abstract

Abstract Background: Pelvic organ prolapse (POP) is a common condition in postmenopausal women all over the world. Pelvic-floor relaxation and POP are regarded by many experts as a pelvic-floor herniation process caused by obstetrical trauma to the pelvic floor or/and existing fascial weakness. Postmenopausal women with POP may have systematic diseases, such as diabetes mellitus, hypertension, cardiac failure, and other conditions that render applying general anesthesia and thus any surgical treatment unavailable. Case: A 70-year-old woman, 160 cm tall and weighing 80 kg, was referred with total uterine prolapse (stage 4 uterovaginal prolapse but not urinary incontinence). She had 8 children, all of whom were delivered vaginally. She had smoked cigarettes for 45 years, and had chronic obstructive pulmonary disease and cardiac failure, which made it unsafe to use general or regional anesthesia. She underwent sacrospinous ligament fixation (SSLF) under local anesthesia. Results: This patient was fully mobil...