Uterosacral Versus Sacrospinous Ligament Suspension in Pelvic Organ Prolapse: An RCT.
Sangam Jha, Vikas Chandra Jha, Supriya Subhi et al.
✦ AI-curated · Sources linked
In 30 seconds
This randomized controlled trial compared high uterosacral ligament suspension (HUSLS) and sacrospinous ligament fixation (SSF) in women undergoing vaginal hysterectomy for pelvic organ prolapse (POP). Among 204 participants, both techniques demonstrated similar anatomic success rates at 12 months, with 75.7% for HUSLS and 79.2% for SSF. Overall surgical success rates were 84.4% for HUSLS and 85.1% for SSF.
Key findings
- Operative time was longer for SSF at 198±18.8 min compared to 168±21.7 min for HUSLS (P =0.04).
- At 12 months, 75.7% of HUSLS patients achieved POP-Q stage 0 compared to 79.2% for SSF.
- Overall surgical success rates were 84.4% for HUSLS and 85.1% for SSF.
- Significant improvement in POPDI-6 scores was observed in both groups (P <0.001).
Why it matters
Understanding the comparative effectiveness of surgical techniques for pelvic organ prolapse is crucial for optimizing patient outcomes and minimizing complications. This study provides evidence that both HUSLS and SSF are viable options for apical prolapse repair.