Transvaginal Sacrospinous Colpopexy ‐A New and Easier Way

Abstract

Sacrospinous colpopexy is an operation which is gaining wide acceptance for suspending the vaginal vault in a women with prolapse who wishes to retain the ability to maintain coitus. However, wider use may be prevented by the technical difficulty of the procedure. This article is a review of 63 cases where the operation was performed using a new 'ENDO STITCH' method which offers advantages both in ease (because it avoids the necessity of direct visualization of the ligament), and possibly safety, (because it avoids the need for retractors).

Selective embolization of the superior vesical artery for the treatment of a severe retroperitoneal pelvic haemorrhage following Endo-Stitch sacrospinous colpopexy

“…In our institution, the incidence of postoperative hemorrhage after Endo-Stitch colpopexy is 1.1% (1/90), similar to what is reported in literature (1/63; 1.6%) [7]. In our patient, the decision for a radiological embolization was immediately reached when the CTA scan showed a pelvic retroperitoneal hematoma.…”

“…Results and complications obtained with the Stitch were similar to the more traditional transvaginal repair, but the Endo-Stitch partially solved technical problems due to the necessity to visualize the SSL ligament by the extensive need of retractors [6][7][8][9]. In 2005, we introduced the Endo-Stitch technique in our practice and, to date, operated 90 patients with positive results.…”