Apikal Pelvik Organ Prolapsusunda Sakrospinöz Ligaman Fiksasyonu ve Uterosakral Ligaman Fiksasyonu Ameliyatlarının Uzun Dönem Sonuçlarının Karşılaştırılması

Abstract

Objective: We aimed to compare the long-term outcomes of the sacrospinous ligament suspension (SSLS) and uterosacral ligament suspension (ULS) procedures used for the treatment of apical pelvic organ prolapse (POP).Methods: Fifty-two patients, diagnosed with apical POP, were included in this retrospective study. Twenty of these patients underwent The ULS procedure Fifty-two patients, diagnosed with apical POP, were included in this retrospective study. Twenty of these patients underwent The ULS procedure (Group 1), thirty-two patients (Group 2) were treated with bilateral SSLS. Operation type and time, objective and subjective cure rates, patient satisfaction rates and complications were obtained from hospital records at the operation time and 12-mounts, 36-mounts.Results: The objective cure rates were 80% of group 1, 78.1% of group 2 at 12-month follow-up and %70 of group 1, 71.8% of group 2 at 36-month follow-up; the subjective cure rates were defined as 100% of group 1, 87.4% of group 2 at 12-month follow-up and %100 of group 1, 84.3% of group 2 at 36-month follow-up (p>0.05). Very satisfied patients were significantly higher in the ULS group compared to the SSLS group (p=0.048) but when compared totally satisfied (very satisfied and greatly improved) and dissatisfied patients, there was no significant difference between groups (p>0.05).Conclusions: It was found that ULS and SSLS were not superior to each other according to success rates and patient’s satisfaction in the comparison of two commonly used methods apical prolapse by vaginal approach.