OBJECTIVE: Our goal was to study the efficacy of performing the repeated sacrospinous ligament fixation with mesh interposition and reinforcement in @entity1 with recurrent @entity3577 . MATERIALS AND METHODS: Fifteen consecutive @entity1 with symptomatic severe vaginal vault or uterus prolapse after previous sacrospinous ligament fixation were enrolled. The sacrospinous ligament fixation was performed with a mesh interposition between sacrospinous ligament complex and vaginal apex. The mesh was extended to anterior and posterior vaginal wall for the repair of concurrent cystocele and rectocele, if indicated. The surgical results and complications were evaluated. The prolapse evaluation was performed according to International Continence Society (ICS) ordinal stages of pelvic organ prolapse. RESULTS: The mean age was 55 years. The mean follow-up was 2.9 years (range 1.0-5.5 years). Repeated sacrospinous ligament fixation was performed for all @entity1 . Eleven were performed unilaterally to the right and four to the left. The average time for sacrospinous fixation was 20 min. The average @entity190 for sacrospinous fixation was 75 ml. No major complication except one accidental rectotomy was observed. It was repaired intraoperatively without sequel. The concurrent pelvic surgeries included vaginal total hysterectomies, anterior colporrhaphies, posterior colporrhaphies, and tension-free vaginal tape procedures. No recurrence of apical prolapse was observed. However, two @entity1 developed stage I prolapse on anterior vaginal wall (cystocele) and required no further repair. @entity260 were observed. CONCLUSION: Repeated sacrospinous ligament fixation with mesh interposition and reinforcement is a safe and effective procedure for the correction of recurrent vault prolapse. The extended implanted mesh can be used for the repair of concurrent cystorectocele effectively. A long-term follow-up is necessary to detect any late complication.

Repair of recurrent XXXX using sacrospinous ligament fixation with mesh interposition and reinforcement.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity3577 :: ('MESH:D056887', 'Disease') :: ['vaginal vault prolapse'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Minor postoperative complications']
@entity3577 :: (MESH:D056887,Disease) :: ['vaginal vault prolapse']
