Comparison of the Efficacies of Sacrospinous Ligament Fixation and Laparoscopic Lateral Suspension in the Treatment of Apical Prolapse: 24-Month Follow-Up Results

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dc.authoridyurtcu, engin/0000-0002-1517-3823
dc.authoridTinelli, Andrea/0000-0001-8426-8490
dc.contributor.authorYurtcu, Engin
dc.contributor.authorKeyif, Betul
dc.contributor.authorSarigedik, Burcu
dc.contributor.authorBasbug, Alper
dc.contributor.authorTinelli, Andrea
dc.date.accessioned2025-10-11T20:47:50Z
dc.date.available2025-10-11T20:47:50Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractBackground: Pelvic organ prolapse (POP) significantly impacts the quality of life, particularly in older women with a history of vaginal deliveries. Although conservative treatments provide some symptom relief, surgical interventions are more effective for managing POP. This study compares the outcomes and effectiveness of sacrospinous ligament fixation (SSLF) and laparoscopic lateral suspension (LLS) surgeries in the treatment of POP.Methods: This retrospective comparative cohort study included patients with symptomatic stage 2 or higher apical POP, treated at a tertiary hospital in Turkey between April 2021 and June 2022. Patients were treated with either SSLF or LLS surgeries and underwent preoperative and postoperative evaluations using the Prolapse Quality of Life (P-QoL) questionnaire and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Patients were divided into two groups: SSLF (n = 47) and LLS (n = 44). The primary outcome was the rate of anatomical failure, while secondary outcomes included improvements in functional capability and quality of life.Results: The study found that the rate of postoperative anterior compartment failure was significantly lower in the LLS group compared to the SSLF group (p = 0.005). The success rate of LLS for apical prolapse was 100%, compared to 93.6% for SSLF. In the posterior compartment, SSLF demonstrated a higher success rate (86.2%) than LLS (68.5%). Both procedures improved P-QoL scores and the PISQ-12 subscales; however, a significant improvement in total PISQ-12 scores was observed only in the LLS group (p = 0.009).Conclusions: Both SSLF and LLS are effective in treating POP and enhancing quality of life. However, LLS demonstrated higher success rates for anterior and apical prolapse, while SSLF was more effective in addressing in posterior compartment defects.en_US
dc.identifier.doi10.31083/CEOG26303
dc.identifier.issn0390-6663
dc.identifier.issn2709-0094
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85219737545en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.urihttps://doi.org/10.31083/CEOG26303
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21607
dc.identifier.volume52en_US
dc.identifier.wosWOS:001406188500003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherImr Pressen_US
dc.relation.ispartofClinicaland Experimental Obstetrics & Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectpelvic organ prolapseen_US
dc.subjectlaparoscopic lateral suspensionen_US
dc.subjectsacrospinous fixationen_US
dc.subjectquality of lifeen_US
dc.titleComparison of the Efficacies of Sacrospinous Ligament Fixation and Laparoscopic Lateral Suspension in the Treatment of Apical Prolapse: 24-Month Follow-Up Resultsen_US
dc.typeArticleen_US

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