Exam Question of the Day - Feb. 7, 2014

By drwall
February 7, 2014

One of the late complications following sacrospinous ligament fixation is:

A.Anterior vaginal wall prolapse
B. Uterine prolapse
C. Dyspareunia
D. Medial thigh pain
E. Enterocoele
Answer: A - Anterior vaginal wall prolapse

Pg 915 Telindes Operative Gyn 10 th ed.

The overall results from sslf have been good. In 1997 Karram reviewed the literature on SSLF and of the 1,137 patients available for follow up 36 (3%) had recurrent vault prolapse. 96 (8%) had anterior wall prolapse and 25 (2%) had posterior wall prolapse. Some authors have reported a high incidence of anterior wall prolapse following SSLF others have not. Smilen and colleagues in 1998 copared patients with anterior vaginal wall defects undergoing anterior colporrhaphy with and without SSLF with patients with a well supported anterior vaginal wall who were undergoing pelvic reconstructive procedures with and without SSF. It has been our experience that this operation does distort the vagina posteriorly and leaves the ant. Segment vulnerable to recurrent prolapse.

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