July 1, 2022 Author : Isabel Grilo Attachment to the sacrospinous ligaments is a surgical procedure that seeks to regain support for the uterus and vagina when they are prolapsed. Both in women who have a uterus and intend to preserve it, as in those who have previously had surgery to remove the uterus and have a vaginal vault, in this surgery: A vaginal incision is made; Stitches are placed to suspend the uterus and vagina in the sacrospinous ligaments. These very strong ligaments ensure good pelvic support . Stitches are usually permanent. Fixation of the uterus and vagina to the sacrospinous ligaments can be performed at the same surgical time as other procedures that are required, for example a vaginal hysterectomy, anterior vaginal wall repair or posterior vaginal wall repair. At the end of the surgery, a compression tampon is placed in the vagina to prevent bleeding and the catheter is maintained. Both are removed, as a rule, 24-48 hours after surgery. Success rate The success rate of this sacrospinous ligament fixation surgery is high, 80%-90% . The prolapse may recur in the operated area or in another area of the vaginal wall and further surgical intervention may be necessary. Risks and complications of sacrospinous ligament fixation surgery All surgical interventions have potential risks or complications , both associated with the surgery itself and with anesthesia. The most common risks and complications of attachment to the sacrospinous ligaments are: Pain in the gluteal region (buttock) in the first weeks after the intervention (1 in 10 women), requiring analgesics; Burning sensation in the rectum, which resolves spontaneously; Constipation, which is frequent and requires dietary care and the occasional use of laxatives, according to medical advice; Pain or discomfort during sexual intercourse. Postoperative recovery and return to normal life After attachment to the sacrospinous ligaments, a vaginal discharge may occur for 4-6 weeks after surgery , which is related to the presence of stitches in the vagina. For 3 months efforts should be avoided , for example: Carrying weights; Practice physical exercise. Sexual intercourse should not be continued until healing is complete , about 6 weeks after surgery. At the beginning of sexual intercourse it may be necessary to use a lubricant. Constipation should be avoided and good intestinal functioning should be promoted with a fiber-rich diet and increased fluid intake . Depending on the professional activity, the period of inactivity may vary between 4 and 6 weeks. Sources International Urogynecologial Association. Sacrospinous fixation / ileococcygeus suspension . Meet the obsterics-gynecology clinical team from Hospital da Luz network and book your consultation . The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.
