Universität zu Köln

Hosni, Wael ORCID: 0009-0009-5655-4153 (2025). Anatomical and functional outcomes after bilateral sacrospinous colposuspension (BSC) for the treatment of female genital prolapse. PhD thesis, Universität zu Köln.

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Abstract

Background: Pelvic organ prolapse (POP) is an unpleasant disorder that affects the quality of life in many females. A large proportion of females with POP are asymptomatic. However, many patients report distressing symptoms. Surgeons have been trying to develop different surgical techinques to effectively manage apical descend of pelvic organs. The bilateral sacrospinous colposuspension surgery (BSC) through a small vaginal incision is a relatively new minimally invasive procedure with extremely encouraging results. The method allows excellent apical fixation with high patients‘ satisfaction and minimal side effects. This study aims to assess the functional and anatomical results of BSC with a very light mesh in 30 patients managed with the standardized surgical method (1). Methods: Thirty patients who had advanced apical prolapse were surgically managed by BSC in this retrospective study. When necessary, an additional anterior, posterior, or both colporrhaphy were carried out. The Pelvic Organ Prolapse Quantification system (POP-Q) was used to assess the anatomical outcomes of the surgery. The standardised Prolapse Quality of Life (P-QOL) questionnaire was used to evaluate the patients‘ satisfaction and the functional outcomes of the surgery (1). Results: After 1 year post-surgery, there was a significant improvement in the POP-Q values compared to preoperative measures.The same applied to the P-QOLquestionnaire's scores. Patients reported the absence of prolapse symptoms and high levels of satisfaction at the one-year mark. Not a single patient experienced any complication during the surgery. There were only a few minor postoperative complications noted and they were fully cured with conservative care (1). Conclusion: The outcomes of the proposed minimally invasive and novel procedure for the surgical correction of symptomatic apical prolapse are highlighted in this study. The suggested procedure's one-year postoperative results proved to have excellent benefits to patients. The results presented here call for additional research and analysis to assess the long-term effects of BSC in the surgical correction of advanced apical prolapse (1).

Item Type:	Thesis (PhD thesis)
Creators:	Creators Email ORCID ORCID Put Code Hosni, Wael whosni.med@gmail.com orcid.org/0009-0009-5655-4153 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-788601
Date:	2025
Place of Publication:	Cologne
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Frauenheilkunde
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Pelvic organ prolapse English Urogynecology English Sacrospinous colposuspension English
Date of oral exam:	6 June 2025
Referee:	Name Academic Title Ludwig, Sebastian Privatdozent Dr. med.
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/78860