Infracoccygeal sacropexy for uterovaginal prolapse.

OBJECTIVE

To report on the efficacy and safety of infracoccygeal sacropexy for the treatment of uterovaginal prolapse.

METHOD: A retrospective analysis of 87 women who underwent an infracoccygeal sacropexy procedure, 53 receiving a multifilament and 34 receiving a monofilament tape.

RESULTS

The mean follow-up was 27 months. Postoperative perineal pain was reported by 7 women (10%), and dyschesia and dyspareunia were observed de novo in 4 (5%) and 5 women (6%), respectively. There were 5 cases (9%) of vaginal extrusion and 9 cases (18%) of prolapse recurrence in the multifilament tape group, and in the monofilament tape group there were no cases of vaginal extrusion and 4 cases (14%) of prolapse recurrence (P=0.79 for prolapse recurrence). The recurrence-free survival curves of the 2 groups were similar. Univariate analysis revealed no independent factors of recurrence.

CONCLUSION

Although infracoccygeal sacropexy was found to be associated with few prolapse recurrences, complications were not rare.