Comparing quality-of-life scores on patients with sacrospinal ligament fixation versus LeFort colpoclesis for pelvic organ prolapse

Aim. Pelvic organ prolapse negatively affects the women's quality of life and often require surgical treatment. There are several therapeutic options for pelvic organ prolapse. The aim of this study was to compare the quality of life in patients with pelvic organ prolapse treated by either sacrospinous ligament fixation or LeFort colpocleisis.

Materials and Methods. This prospective cohort study was conducted in our urogynecology clinic on 51 patients (29 sacrospinous ligament fixation, and 22 LeFort colpoclesis). The patients were evaluated 6 months postoperatively, using the The Prolapse Quality of Life Score.

Results. The study sample showed that there was no significant difference in quality of life between the two groups. There was no significant difference in PQOL scores for all components analyzed. There was only a significant positive correlation in role-limiting scores related to BMI in patients who had a sacrospinous fixation group (p <0.05). In our sample, the sacrospinal ligament fixation group was younger than the LeFort colpoclesis group.

Conclusions. Recurrence rates in sacrospinous ligament fixation surgery are high. LeFort colpoclesis should be considered as the first option in patients with comorbidities and without sexual activity.