Comparison of vaginal length after iliococcygeus fixation and sacrospinous ligament fixation

Carlos A. Medina, Clara Croce, Keith Candiotti, Peter Takacs

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Objective: To compare vaginal length after iliococcygeus fixation (ICF) and sacrospinous ligament fixation (SSLF). Methods: A retrospective cohort study was performed on patients undergoing ICF or SSLF. Sixty-seven patients were identified and, of these, only 46 had complete data sets, leaving 23 patients in either group eligible for study. Results: There were no significant differences in demographic data between the 2 groups. Mean vaginal length measurements were not significantly different before and after the ICF procedure (7.7 ± 0.9 cm vs 7.6 ± 0.8 cm, respectively; P = 0.68). However, the mean vaginal length was significantly shortened following SSLF (7.9 ± 0.8 cm vs 7.1 ± 1.1 cm, P = 0.001). The mean vaginal lengths preoperatively (7.7 ±0.9 cm vs 7.9 ± 0.8 cm, P = 0.51) and postoperatively (7.6 ± 0.8 cm vs 7.1 ± 1.1 cm, P = 0.07) were similar. Conclusion: Iliococcygeus fixation does not significantly shorten vaginal length at the time of vaginal vault suspension, whereas the sacrospinous ligament fixation procedure does shorten vaginal length.

Original languageEnglish (US)
Pages (from-to)267-270
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume100
Issue number3
DOIs
StatePublished - Mar 2008

Keywords

  • Iliococcygeus fixation
  • Sacrospinous ligament fixation
  • Vaginal length

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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