✦ Pelvic Organ Prolapse Treatment

Sacrospinous Ligament Fixation

Q: Is sacrospinous ligament fixation as good as sacrocolpopexy?

SSLF achieves 80% success vs 85–90% for sacrocolpopexy; it is preferred when mesh-free vaginal surgery is required. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: What are the risks of SSLF?

Main risks include buttock pain from pudendal nerve irritation (usually resolves in weeks), haemorrhage, and anterior wall prolapse recurrence.

Q: Why does anterior prolapse sometimes recur after SSLF?

SSLF deviates the vaginal axis posteriorly; this can unmask anterior compartment weakness — concurrent anterior colporrhaphy reduces this risk.

Vaginal Vault Suspension to the Sacrospinous Ligament Without Mesh

60–90 min PROCEDURE

1–2 Days HOSPITAL STAY

>80% SUCCESS RATE

3–4 Weeks RECOVERY

What is Sacrospinous Ligament Fixation?

Sacrospinous Ligament Fixation (SSLF) is a vaginal procedure for vault prolapse in which the vaginal apex is sutured to the sacrospinous ligament — a strong fibrous structure in the pelvis — using a specially designed ligature carrier. It restores vaginal apical support without mesh or abdominal incision. SSLF is a reliable native tissue repair particularly suited to patients unable to undergo abdominal surgery or those who prefer a mesh-free vaginal approach. The procedure is performed under general or spinal anaesthesia with a hospital stay of 1–2 Days.

Women with vaginal vault prolapse after hysterectomy, or uterine prolapse, who prefer a vaginal mesh-free approach or are not candidates for abdominal sacrocolpopexy. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Posterior Vaginal Incision

Posterior vaginal wall incised; rectovaginal space developed.

Ligament Identification

Ischiorectal fossa entered; sacrospinous ligament palpated and identified.

Suture Placement

Suture carrier (Miya hook or Capio device) used to pass permanent sutures through the ligament.

Vault Suspension

Sutures attached to the vaginal apex and tied to suspend the vault to the sacrospinous ligament.

Posterior Repair & Closure

Posterior colporrhaphy and perineorrhaphy performed; vaginal wall closed.

Outcomes

60–90 minDURATION

1–2 DaysHOSPITAL STAY

>80%SUCCESS RATE

3–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Effective vault suspension without mesh or abdominal incision.
→Native tissue repair — no synthetic material required.
→Shorter recovery than abdominal sacrocolpopexy.
→Suitable for elderly patients unfit for abdominal surgery.
→Can be performed under regional anaesthesia for high-risk patients.
→Simultaneous posterior colporrhaphy addresses posterior compartment defect.

"Sacrospinous ligament fixation is an elegant native-tissue operation for vault prolapse. In experienced hands, it delivers reliable apical support through a vaginal approach — no mesh, no abdominal incision."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Is sacrospinous ligament fixation as good as sacrocolpopexy?+

What are the risks of SSLF?+

Why does anterior prolapse sometimes recur after SSLF?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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