TY - JOUR
T1 - Comparison of vaginal length after iliococcygeus fixation and sacrospinous ligament fixation
AU - Medina, Carlos A.
AU - Croce, Clara
AU - Candiotti, Keith
AU - Takacs, Peter
PY - 2008/3
Y1 - 2008/3
N2 - 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.
AB - 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.
KW - Iliococcygeus fixation
KW - Sacrospinous ligament fixation
KW - Vaginal length
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U2 - 10.1016/j.ijgo.2007.09.018
DO - 10.1016/j.ijgo.2007.09.018
M3 - Article
C2 - 18022624
AN - SCOPUS:39149133379
VL - 100
SP - 267
EP - 270
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
SN - 0020-7292
IS - 3
ER -