Anatomical Outcome After Sacrospinous Fixation Procedure on Pelvic Organ Prolapse Cases in Cipto Mangunkusumo Hospital Year 2013–2018

Abstract

Objective: This study aims to determine the anatomical outcome of sacrospinous fixation (SSF) technique. Design: This study uses a retrospective cohort design with archival study. Materials and Methods: Data were taken from secondary medical records for evaluation of operating outcomes of SSF, in the form of Pelvic Organ Prolapse-Quantification (POP-Q) scores of preoperative and postoperative procedure. Thirty-four patients who have gone through the inclusion and exclusion criteria were analyzed by their C-point position preoperatively and postoperatively. Paired t-test was used for normally distributed variables, whereas the Wilcoxon signed-rank test was used for not normally distributed variables. Result: From 34 patients, we found that the average age is 55.1 years, with a median body mass index of 25.2 kg/m2, multiparity 66.7%, prolapse stage III–IV (67.6%), and previous hysterectomy (17.6). The measurement of POP-Q score was conducted before and after the operative procedure, with an average C-point score of 3.62 ± 1.12, median of 3.0, minimum score of −1, and maximum score of +9. In measurement post-procedure, we found an average C-point score of −4.56 ± 0.82, with a median of −5.0, minimum score of −8, and maximum score of +4. From comparative analysis of preoperative and postoperative procedure, it is found to be statistically significant (p < 0.001). Conclusion: The SSF has a good operating outcome especially for the improvement of the apical compartment with successful rate of 14/16 (87.5%).