Infracoccygeal sacropexy for uterovaginal prolapse

ObjectiveTo report on the efficacy and safety of infracoccygeal sacropexy for the treatment of uterovaginal prolapse.MethodA retrospective analysis of 87 women who underwent an infracoccygeal sacropexy procedure, 53 receiving a multifilament and 34 receiving a monofilament tape.ResultsThe mean follow-up was 27 months. Postoperative perineal pain was reported by 7 women (10%), and dyschesia and dyspareunia were observed de novo in 4 (5%) and 5 women (6%), respectively. There were 5 cases (9%) of vaginal extrusion and 9 cases (18%) of prolapse recurrence in the multifilament tape group, and in the monofilament tape group there were no cases of vaginal extrusion and 4 cases (14%) of prolapse recurrence (P = 0.79 for prolapse recurrence). The recurrence-free survival curves of the 2 groups were similar. Univariate analysis revealed no independent factors of recurrence.ConclusionAlthough infracoccygeal sacropexy was found to be associated with few prolapse recurrences, complications were not rare.