Is sacrospinous ligament fixation a safer method for treating pelvic organ prolapse?
China: A new study published in Urology shows that uterosacral ligament suspension (ULS) and sacrospinous ligament fixation (SLF) are both safe and effective surgical treatments for pelvic organ prolapse.
Pelvic organ prolapse (POP) is a gynecological disorder in which the pelvic organs protrude into the vagina as a result of ligament or muscle weakening. POP is classified based on the compartment of descent. Yuanzhuo Chen and colleagues carried out this research to examine the safety and effectiveness of sacrospinous ligament fixation (SSLF) and uterosacral ligament suspension (ULS) for surgical repair of pelvic organ prolapse (POP).
Comparative studies were found in the databases EMBASE, PubMed, Cochrane Library, MEDLINE, Medicine, and clinicaltrials.gov for this study. There were randomized controlled trials, as well as prospective and retrospective cohort studies. Anatomical rate of success (defined as anterior or posterior vaginal wall beyond the hymen), surgical rate of success, recurrence, and total complication rate were recorded as primary outcomes, while specific problems rates were obtained as secondary outcomes. Revman was used to examine the data (Version 5.4).
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