Sacrospinous Fixation in the Management of 1st and 2nd Degree Uterovaginal Prolapse: Outcome and Complications

Open Access

Abstract

Background: Pelvic organ prolapse is a common gynecological condition that significantly affects quality of life, particularly among multiparous and aging women. Sacrospinous fixation has emerged as an effective vaginal surgical approach for restoring apical support while minimizing operative morbidity. Despite increasing global evidence, data regarding its outcomes in South Asian populations remain limited. Objective: This study aimed to evaluate anatomical success, functional improvement and postoperative complications following sacrospinous fixation in women with first- and second-degree uterovaginal prolapse. Methods & Materials:  A prospective observational study was conducted at the Department of Obstetrics and Gynecology, Bangladesh Medical University, Dhaka, from January to December 2023. A total of 120 patients underwent sacrospinous fixation and were followed for 12 months. Baseline demographic characteristics, perioperative parameters and postoperative outcomes were analyzed using SPSS version 25.0. Results: Successful anatomical correction was achieved in 90% of patients, while recurrence occurred in 10%. Subjective symptom improvement was reported by 85% of participants and urinary symptom improvement was noted in 73.3%. The most common complication was transient buttock pain (15%), followed by urinary tract infection (11.7%), with no neurological injury observed. Operative duration was ≤60 minutes in most cases and blood loss remained minimal in the majority of patients. Conclusion: Sacrospinous fixation demonstrated favorable anatomical and functional outcomes with low complication rates, supporting its role as a safe and effective surgical option for early-stage uterovaginal prolapse.