Abstract

Pelvic organ prolapse (POP) is a common condition contributing to approximately 13% of gynaecological surgeries. An ideal method for vaginal apical support should provide durable suspension, have minimal complications and does not affect sexual function. Despite various operational modalities, an ideal procedure for vaginal vault suspension is yet to be discovered but sacrospinous fixation is a viable option. Unilateral sacrospinous vault suspension is preferred over bilateral method despite deviation of vault to one side as it has same success rate and lesser complications. Vaginal sacrospinous vault suspension has lower rate of perioperative complications, lesser operative time and hospital stay with improved quality of life when compared with abdominal scarocolpopexy with equal success rate. Although vaginal sacrospinous ligament fixation was initially introduced as a method of treating posthysterectomy vault prolapse but now it is also used as a preventive method along with vaginal hysterectomy.