Clinical comparison of mccall kuldoplasty and sacrospinous ligament fixation in patients with grade 2 and higher desensus uteria

Aim: Our aim in this study was to clinically compare the intraoperative and postoperative outcomes of patients who underwent vaginal hysterectomy with McCall Kuldoplasty and Sacrospinous Ligament Fixation and to examine the effect of these surgical procedures on the quality of sexual life of patients. Material and Method: Between 2016 and 2022, 68 patients who underwent vaginal hysterectomy with Mc Call and 35 patients who underwent SSLF at Istanbul University - Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Obstetrics and Gynecology were included in the study. Intraoperative data were obtained through automation. Patients were interviewed for recurrence and development of complications, dyspareunia and urinary incontinence. Last gynecologic examinations were examined. Sexually active patients were administered the PISQ-12 questionnaire to assess sexual quality of life. IBM SPSS Statistics 25 was used to analyze the data. p < 0.05 was considered statistically significant. Results: There was no difference between the two groups in terms of demographic characteristics. Among the operative data, only the operation time was significantly shorter in patients who underwent McCall Kuldoplasty. There was no significant difference between the two groups in terms of intraoperative complications, postoperative recurrence and PISQ-12 scores. There was a significant correlation between the decline in PISQ-12 scores with advancing age in the McCall group. Conclusion: Both methods reduce the recurrence of pelvic organ prolapse. They do not have a significant advantage over each other except for the operation time. However, studies should be performed in larger patient groups to compare the presence of complications and recurrence. Keywords: Desensus uteri, McCall's cuddoplasty, Pelvic organ prolapse, PISQ-12, Sacrospinous ligament fixation