Sacrospinous Ligament Fixation and Lateral Suspension Operations

Study Overview
=================
Brief Summary
-----------------
Different surgical methods can be used in the treatment of vaginal cuff prolapse in patients who had previously undergone hysterectomy for benign reasons. One of these is transvaginal sacrospinous ligament fixation and the other is lateral suspension. the investigators want to compare the results of patients undergoing these two operations. Thus, the difference between surgical methods will be investigated.

Detailed Description
-----------------
Patients with symptomatic vaginal cuff prolapse will be operated; There will be two kinds of operation. After the operations, the patients will be followed up, a questionnaire will be applied to the postoperative patients and some questions will be asked. Pelvic examinations will also be performed and they will be evaluated for recurrence and complication. At the end of the study, the data of both groups will be compared and their superiority to each other will be shown.

Official Title
-----------------
Comparison of Transvaginal Sacrospinous Ligament Fixation and Lateral Suspension Operations in the Treatment of Vaginal Cuff Prolapse in Hysterectomized Patients

Conditions
-----------------
Prolapse, Cuff

Intervention / Treatment
-----------------
* Procedure: vaginal cuff prolapse surgery


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients who had previously undergone hysterectomy for benign causes Patients with symptomatic vaginal cuff prolapse during hysterectomy follow-up And for this, patients scheduled for operation Exclusion Criteria: Patients with chronic diseases or medications that interfere with the operation Patients with oncology operated for malignant cause Non-localized patients with vaginal cuff prolapse

Ages Eligible for Study
-----------------
Minimum Age: 40 Years
Maximum Age: 75 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sacrospinous Ligament Fixation patients<br>Patients who underwent Sacrospinous Ligament Fixation for the treatment of vaginal cuff prolapse in patients who had previously undergone hysterectomy for benign causes | Procedure: vaginal cuff prolapse surgery<br>* Different surgical methods for the treatment of vaginal cuff prolapse in patients who have previously undergone hysterectomy for benign causes<br>|
| lateral suspension surgery patients<br>Patients who underwent lateral suspension surgery for vaginal cuff prolapse in patients who had previously undergone hysterectomy for benign causes | Procedure: vaginal cuff prolapse surgery<br>* Different surgical methods for the treatment of vaginal cuff prolapse in patients who have previously undergone hysterectomy for benign causes<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| recurrence | Patients will be followed up for 1 year after surgery and will be evaluated for recurrence at 1, 6 and 12 months. degree of uterine desensus cystocele and rectocele degree to be examined | 1 years | 
| complications | Patients will be followed up for 1 year after the operation and will be evaluated for complications at 1, 6 and 12 months. bleeding the risk of infection and recurrence | 1 years |