ArticleInternational urogynecology journal2026
Sacrospinous Ligament Fixation for Hysteropexy: Does Concomitant Anterior and Posterior Fixation Using a Posterior Approach Route Improve Surgical Outcomes?
Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introduction and hypothesisUterine preservation during pelvic organ prolapse (POP) repair is increasingly preferred, with sacrospinous hysteropexy (SSH) being a successful option. SSH can be performed via anterior or posterior approaches.
methodsThis retrospective study compared outcomes of two SSH techniques involving synthetic mesh: anchorage to the anterior cervix only (SSH-A) and anchorage to both anterior and posterior cervix (SSH-AP). A total of 113 women with symptomatic Pelvic Organ Prolapse Quantification stage ≥ 3 underwent sacrospinous ligament fixation with synthetic mesh-55 in the SSH-A group and 58 in the SSH-AP group.
resultsBaseline characteristics were similar between groups. SSH-AP had a longer mean operative time but comparable blood loss, hospital stay, and follow-up duration. No major complications were reported. At 1-year follow-up, subjective cure rate was significantly higher in the SSH-AP group (98.3% vs 89.1%, p = 0.019), whereas objective cure rates were similar. De novo urge and stress urinary incontinence were more common in SSH-A (25.9% vs 4.2%, p = 0.037). Quality-of-life scores (Urogenital Distress Inventory 6, Incontinence Impact Questionnaire 7, Pelvic Organ Prolapse Distress Inventory 6) were also poorer in the SSH-A group.
conclusionsBoth approaches provided good clinical outcomes, but SSH-AP was superior in terms of subjective cure, lower incontinence rates, and quality of life.
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