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Journal of Obstetrics and Gynaecology Volume 31, 2011 - Issue 5
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Review

The sacrospinous ligament: Conveniently effective or effectively convenient?

A. RaneDepartment of Urogynaecology, The Townsville Hospital, School of Medicine and Dentistry, James Cook University, Townsville
,
M. FrazerDepartment of Urogynaecology, Gold Coast and Pindarra Hospitals, Griffith and Bond University, Gold Coast, Australia
,
A. JainDivision of Urology and Kidney Transplant, Medanta Kidney and Urology Institute, Medanta – The Medicity, Gurgaon, Haryana, IndiaCorrespondenceamita_jain75@yahoo. com
,
K. KannanDepartment of Urogynaecology, The Townsville Hospital, School of Medicine and Dentistry, James Cook University, Townsville
&
J. IyerDepartment of Urogynaecology, The Townsville Hospital, School of Medicine and Dentistry, James Cook University, Townsville
Pages 366-370 | Published online: 31 May 2011
 
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Summary

The sacrospinous ligament has been used for over 50 years as a convenient structure for treating vaginal vault and more recently, uterine prolapse. The procedure has evolved over the years and its efficacy has been hotly debated with invariable comparisons made to abdominal sacral colpopexy. Mesh surgery has introduced a newer dimension to the debate. This review is an attempt to clarify the anatomy, reflect on various techniques and offer a critique on the current ‘status’ of the sacrospinous ligament.

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