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21 Results Found

  • Review
  • Open Access
1 Citations
953 Views
13 Pages

Technical Challenges and Surgical Considerations in Sacrospinous Ligament Fixation for Apical Prolapse Repair

  • Stavros Athanasiou,
  • Anastasia Prodromidou,
  • Dimitrios Zacharakis,
  • Aristotelis-Marios Koulakmanidis,
  • Giuseppe Mascellino,
  • Athanasios Douligeris,
  • Nikolaos Kathopoulis and
  • Themistoklis Grigoriadis

29 May 2026

Background/Objectives: Sacrospinous ligament fixation (SSLF) is a well-established native tissue vaginal procedure for uterine/vault prolapse. Despite favorable success rates, the procedure presents technical challenges due to the deep operative fiel...

(This article belongs to the Special Issue Current Perspectives and Innovations in Urogynecology)
  • Article
  • Open Access
8 Citations
3,810 Views
13 Pages

Laparoscopic Pectopexy versus Vaginal Sacrospinous Ligament Fixation in the Treatment of Apical Prolapse

  • Simona Brasoveanu,
  • Razvan Ilina,
  • Ligia Balulescu,
  • Marilena Pirtea,
  • Cristina Secosan,
  • Dorin Grigoraș,
  • Daniela Chiriac,
  • Răzvan Bardan,
  • Mădălin-Marius Margan and
  • Laurențiu Pirtea
  • + 1 author

23 September 2023

Objectives: To compare the follow-up results of a sacrospinous ligament fixation (SSLF) technique for laparoscopic bilateral fixation of the vagina to the iliopectineal ligament via a PVDF-mesh (laparoscopic pectopexy technique, LP) in terms of cure...

(This article belongs to the Special Issue Diagnosis and Treatment of Obstetrics and Gynecology Diseases)
  • Article
  • Open Access
3 Citations
2,076 Views
10 Pages

Comparison of Early Postoperative Outcomes for Vaginal Anterior Sacrospinous Ligament Fixation with or without Transvaginal Mesh Insertion

  • Louis-Edouard Galan,
  • Stéphanie Bartolo,
  • Céline De Graer,
  • Sophie Delplanque,
  • Marine Lallemant and
  • Michel Cosson

25 May 2023

Pelvic organ prolapse affects one in three women, and cystocele accounts for 80% of the indications for surgery. Following the withdrawal of transvaginal mesh from the market, the objective of the present before-and-after study was to compare of the...

(This article belongs to the Special Issue Advances in Non-surgical and Surgical Treatments of Pelvic Organ Prolapse)
  • Article
  • Open Access
10 Citations
6,177 Views
10 Pages

13 August 2024

Vaginal vault prolapse is one of the main reasons for reoperation in patients with pelvic organ prolapse. Effective correction of the vaginal apex is essential for lasting repair for these women. Apical suspension of the sacrospinous ligament is prob...

  • Article
  • Open Access
11 Citations
3,651 Views
9 Pages

Serious Complications and Recurrence following Sacrospinous Ligament Fixation for the Correction of Apical Prolapse

  • Susie De Gracia,
  • Brigitte Fatton,
  • Michel Cosson,
  • Sandrine Campagne-Loiseau,
  • Philippe Ferry,
  • Jean-Philippe Lucot,
  • Philippe Debodinance,
  • Laure Panel,
  • Xavier Deffieux and
  • Renaud de Tayrac
  • + 7 authors

6 January 2023

Objective: To evaluate the rates of serious complications and reoperation for recurrence following sacrospinous ligament fixation (SSLF) for apical pelvic organ prolapse. Methods: This was a national registry ancillary cohort comparative study. The V...

(This article belongs to the Special Issue Advances in Non-surgical and Surgical Treatments of Pelvic Organ Prolapse)
  • Article
  • Open Access
5 Citations
3,111 Views
10 Pages

18 September 2024

Background: This study aimed to evaluate the safety and efficacy of minimally invasive sacrospinous ligament (SSL) fixation of apical pelvic organ prolapse (POP) in older patients compared to younger patients. Methods: A cohort of 271 older (≥65 y...

(This article belongs to the Section Obstetrics & Gynecology)
  • Article
  • Open Access
5 Citations
4,350 Views
11 Pages

The Vaginal Patch Plastron Associated to the Anterior Sacrospinous Ligament Fixation for the Treatment of Advanced Anterior Vaginal Wall Prolapse

  • Alessandro Ferdinando Ruffolo,
  • Benjamin Lambert,
  • Marine Lallemant,
  • Massimo Candiani,
  • Stefano Salvatore and
  • Michel Cosson

11 November 2022

Background: this study aims to compare the efficacy and safety of vaginal patch plastron (VPP) associated to anterior sacrospinous ligament fixation (SSLF-A) with SSLF-A associated or not to the anterior colporrhaphy (AC) for cystocele treatment. Met...

(This article belongs to the Special Issue Advances in Non-surgical and Surgical Treatments of Pelvic Organ Prolapse)
  • Article
  • Open Access
1 Citations
1,937 Views
12 Pages

24 July 2025

Background: Recurrent apical pelvic organ prolapse (POP) presents significant management challenges, with limited evidence on optimal surgical approaches. This study evaluated the safety and long-term effectiveness of minimally invasive sacrospinous...

(This article belongs to the Special Issue Clinical Challenges of Pelvic Floor Disorders Management)
  • Article
  • Open Access
522 Views
18 Pages

Background: Pelvic organ prolapse (POP) significantly impacts women’s quality of life. Two established surgical approaches exist: laparoscopic sacropexy (LSC) and vaginal sacrospinous fixation (SSLF). This study compared surgical outcomes, comp...

(This article belongs to the Section Women’s and Children’s Health)
  • Article
  • Open Access
8 Citations
3,433 Views
13 Pages

Sacrospinous Hysteropexy Versus Prolapse Hysterectomy with Apical Fixation: A Retrospective Comparison over an 18 Year Period

  • Greta Lisa Carlin,
  • Sören Lange,
  • Christina Ziegler,
  • Florian Heinzl and
  • Barbara Bodner-Adler

10 March 2023

Background. Pelvic organ prolapse (POP) is a common health problem, with a high lifetime risk for prolapse surgery. Uterine-preserving procedures such as vaginal sacrospinous hysteropexy (SSH) have become an increasingly utilized surgical option for...

(This article belongs to the Section Obstetrics & Gynecology)
  • Review
  • Open Access
5 Citations
4,983 Views
12 Pages

Therapeutic Options for Advanced Pelvic Organ Prolapse

  • Béatrice Bouchard and
  • Lysanne Campeau

Background: Advanced pelvic organ prolapse (POP) can have a significant impact on women’s health and quality of life (QoL). Several treatments, both conservative and surgical, can be offered to patients. These include vaginal pessaries, abdomin...

  • Article
  • Open Access
108 Views
11 Pages

The EnPlace® Device for Advanced Apical Prolapse: Anatomical Outcomes and Long-Term Satisfaction

  • Reut Rotem,
  • Jonatan Neuman,
  • Ayala Hirsch,
  • Menahem Neuman and
  • Adi Y. Weintraub

9 October 2026

Background: Apical pelvic organ prolapse remains a considerable surgical challenge given its comparatively high recurrence rates. The EnPlace® device provides a mesh-free, minimally invasive option for sacrospinous ligament fixation (SSLF). This...

  • Article
  • Open Access
1 Citations
908 Views
12 Pages

Bilateral Sacrospinous Colposuspension with Sling for Advanced Pelvic Organ Prolapse: Anatomical and Functional Outcomes in a 235-Patient Cohort

  • Irene Sánchez-Urbaneja,
  • Elisa M. López-Herrero-Pérez,
  • Francisco Rivas-Ruiz,
  • Raquel Romero-Pérez,
  • María José Núñez-Matas,
  • Ana Astorga-Zambrana and
  • Laura M. Palomar-Sánchez

2 June 2026

Background: Pelvic organ prolapse (POP) is a prevalent condition that often requires surgical correction of apical support. Vaginal approaches that restore anatomy while minimizing synthetic material are of increasing clinical interest. Bilateral sac...

(This article belongs to the Section Obstetrics & Gynecology)
  • Article
  • Open Access
5 Citations
3,191 Views
14 Pages

19 January 2022

Background and Objectives: To identify the predictors of clinical outcomes in women with pelvic organ prolapse (POP) who underwent transvaginal reconstruction surgery, especially with transobturator mesh fixation or sacrospinous mesh fixation. Materi...

  • Case Report
  • Open Access
4,144 Views
4 Pages

30 June 2021

(1) Background: Pelvic organ prolapse (POP) is common among post-menopausal women affecting more than 25% in their lifetime—with 11% having a lifetime risk of undergoing an operation for a POP. In April 2019, the Food and Drug Administration (FDA) to...

  • Article
  • Open Access
6 Citations
7,695 Views
13 Pages

5 November 2021

Open-book fractures are defined as the separation of the pubic symphysis or fractures of the rami and disruption of the anterior sacroiliac, sacrotuberous, and sacrospinal ligaments. They can be stabilized by fixation of the anterior arch. However, i...

(This article belongs to the Section Injury Biomechanics and Rehabilitation)
  • Article
  • Open Access
4 Citations
4,573 Views
9 Pages

Modified Vaginal Mesh Procedure with DynaMesh®-PR4 for the Treatment of Anterior/Apical Vaginal Prolapse

  • Chia-Ju Lin,
  • Chih-Ku Liu,
  • Hsiao-Yun Hsieh,
  • Ming-Jer Chen and
  • Ching-Pei Tsai

18 September 2023

(1) Background: Treating female pelvic organ prolapse (POP) is challenging. Surgical meshes have been used in transvaginal surgeries since the 1990s, but complications such as mesh exposure and infection have been reported. Polyvinylidene fluoride (P...

(This article belongs to the Section Medical Imaging and Theranostics)
  • Article
  • Open Access
4 Citations
2,896 Views
11 Pages

Anterior and Apical Prolapse: Comparison of Vaginal Mesh Surgery to Vaginal Surgery with No Mesh

  • Charlotte Cassagne,
  • Francoise Perriard,
  • Arnaud Cornille,
  • Jennifer Salerno and
  • Laure Panel

13 March 2023

Aim of the study: The aim of this study was to evaluate the anatomical results after an anterior sacrospinous ligament fixation (ASSLF) with native tissue repair (anterior colporraphy and apical suspension with prolene) compared to mesh repair for th...

(This article belongs to the Special Issue Advances in Non-surgical and Surgical Treatments of Pelvic Organ Prolapse)
  • Review
  • Open Access
620 Views
23 Pages

Post-Hysterectomy Vaginal Vault Prolapse: Current Perspectives and Decision-Making Considerations for Surgical Treatment

  • Sveto Pantovic,
  • Jelena Dotlic,
  • Katarina Ivanovic,
  • Kosta Pantovic,
  • Milica Jeremic,
  • Milena Mitrovic,
  • Ivana Vukovic,
  • Branislav Milosevic,
  • Milos Milincic and
  • Slavica Aksam
  • + 1 author

11 August 2026

Background and Objectives: Following the removal of the uterus, due to prolapse or other indications, disruption of the apical support structures may result in descent of the vaginal apex. As the condition progresses, the cystocele, rectocele, and/or...

(This article belongs to the Special Issue Addressing the Right Strategy in the Treatment of Gynecological Diseases—2nd Edition)
  • Review
  • Open Access
3 Citations
1,873 Views
11 Pages

Patient-Reported Outcomes and Quality of Life After Laparoscopic Pectopexy

  • Anna Pitsillidi,
  • Georgios Grigoriadis,
  • Laura Vona,
  • Guenter Noé and
  • Angelos Daniilidis

7 September 2025

Background: Pelvic organ prolapse (POP) significantly impairs patients’ quality of life, especially in urinary, bowel, and sexual domains. While laparoscopic sacrocolpopexy (LS) is the current gold standard for apical prolapse repair, it is ass...

(This article belongs to the Special Issue Pelvic Organ Prolapse: Current Progress and Clinical Challenges)
  • Article
  • Open Access
376 Views
23 Pages

Disentangling Procedural and Patient-Specific Drivers of Perioperative Outcomes in Pelvic Organ Prolapse Surgery: A Stratified Multigroup Analysis

  • Diana Pop-Lodromanean,
  • Nicolae Grigore,
  • Adrian Hasegan,
  • Samuel Bogdan Todor,
  • Paula Anderco,
  • Radu Chicea,
  • Cristian Ichim and
  • Livia-Mirela Popa

Background: Perioperative outcomes in pelvic organ prolapse (POP) surgery remain difficult to predict due to substantial heterogeneity in both surgical techniques and patient characteristics. Existing studies typically evaluate these factors in isola...

(This article belongs to the Section Women’s and Children’s Health)