Retrospective trial evaluates outcomes of bilateral sacrospinous ligament fixation in prolapse repair, suggesting high effectiveness without hysterectomy.
Key Points
This research aims to evaluate the long-term outcomes of bilateral sacrospinous ligament fixation (BSSLF) for apical prolapse repair.
Retrospective cohort study involving 391 patients treated with Splentis from 2012 to 2023.
Patients divided into two groups: group A (ABSSLF without hysterectomy) and group B (other surgical approaches).
Outcomes measured at intermediate (1-3 years) and long-term (>3 years) follow-ups, focusing on cure rates and complications.
Composite cure rate was 90.3%, with group A at 94.3% and group B at 83.2%.
Group A's outcomes remained stable long-term, while group B declined by 16.2 percentage points.
Higher odds of treatment failure (OR 3.0) were noted when anterior colporrhaphy was omitted.