High Uterosacral Ligament Suspension with Nonabsorbable Sutures in Apical Prolapse: A 24-Month Follow-Up

Abstract

Background: Pelvic organ prolapse (POP) is a common pathology affecting up to 60% of women. Transvaginal high uterosacral ligament suspension (HUSLS) is an alternative treatment for apical prolapse. HUSLS has short operative and recovery time, as well as low complication rate. Objective: To evaluate the objective and subjective success rates in patients with apical prolapse who underwent HUSLS at Quilpué Hospital over a 24-month follow-up. Materials: A retrospective, observational, descriptive study was carried out, and all symptomatic patients with apical prolapse ? stage 2 POP-Q classification who underwent HUSLS between September 2014 and October 2019 were included in the study. Data were obtained from the database of the Urogynecology Unit of Quilpué Hospital, after approval by the ethics committee. Objective success was defined as C-point at 1 cm above the hymen, while subjective success was defined as “better” or “much better” in the Patient Global Impression of Improvement (PGI-I) scale and/or a visual analog scale (VAS) greater than 80% at 24 months of follow-up. Results: Of the 46 patients included in the study, the objective success rate was 84%, while the subjective success rate was 70%. Conclusion: Transvaginal HUSLS with permanent sutures is an excellent alternative treatment for apical prolapse, with a success rate similar to the gold standard at 24 months follow-up.