Original Article

Bilateral Sacrospinous Colposuspension (BSC) for the treatment of vaginal vault prolapse – description of a novel method

D.G. Kieback

Interdisciplinary Pelvic Floor Center, Department of Obstetrics and Gynecology Diakonissenkrankenhaus Flensburg, Flensburg, Germany

Abstract:

Vaginal vault prolapse is observed with increasing frequency in the era of large aging populations. Various surgical techniques have been established, varying in performance, difficulty and outcome, specifically complications. A bilateral sacrospinous colposuspension technique (BSC) with a corresponding mesh prosthesis was developed using a direct I-Stitch fixation of the 38 micro-gram mesh from the vaginal apex or uterine cervix to the sacrospinous ligament or the para-sacral tendinous region for the treatment of an anatomical central pelvic floor defect. As a minimally invasive approach with the potential for conservation of the uterus, this technique should be applicable to all age groups including the increasingly frequent elderly patient with significant co-morbidities.


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