Long-term functional stability of sacrospinous ligament-fixation repair of pelvic organ prolapse

The objective of this study was to evaluate the variation over 5 years of functional discomfort associated with pelvic organ prolapse (POP) repaired by sacrospinous ligament fixation (SLF). A total of 178 women who had undergone SLF from 1992 to 2001. In 2002 and 2008, patients were sent a questionnaire including the pelvic floor distress inventory (PFDI-20); 79 responded and comparison of those data served to evaluate subjective signs at 5 years. This population was divided into two groups: ≤60 and >60 years old, and their 2002–2008 differences were compared. The outcomes were satisfaction, functional results and sexuality. Mean follow-up was 115 (72–173) months. Our results showed the long-term stability of SLF functional outcomes for women >60 years. However, for those ≤60 years, functional outcomes and satisfaction had declined at 5 years.