Gluteal and Posterior Thigh Pain In the Postoperative Period and the Need for Intervention After Sacrosplnous Ligament Colpopexy

摘要

One transvaginafoption for surgical repair of vaginal apex prolapse is sacrospinous ligament (SSL) colpopexy. Several studies evaluating outcomes of SSL suspension have shown favorable results: the subjective success rate ranges from 84% to 99% and the objective success rate ranges from 67% to 93%. To facilitate the SSL colpopexy technique, the Capio suture-capturing device was developed in 1997. Safe suture placement into the SSL with easy suture retrieval has been achieved with this device. A postoperative complication of SSL colpopexy reported in a number of studies is gluteal and posterior thigh pain, which occurs in 6% to 14% of patients. Few studies have compared the Capio device with other suturing techniques used to perform the SSL colpopexy procedure, and none have investigated the incidence of gluteal and posterior thigh pain with this device.