Urinary basement membrane graft-augmented sacrospinous ligament suspension: a description of technique and short-term outcomes

Douglas Luchristt*, Alison C. Weidner, Nazema Y. Siddiqui

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction and hypothesis: Since the discontinuation of manufacture and distribution of surgical mesh for transvaginal prolapse repair, the use of biologic grafts for transvaginal apical suspension has gained renewed attention. However, there is no FDA-approved device and minimal published data describing such an approach. The objective of this video is to describe a technique and to present limited short-term outcomes utilizing a porcine urinary basement membrane (UBM) graft to perform an augmented bilateral sacrospinous ligament suspension (SSLS). Methods: We present a step-by-step overview of our technique to perform an augmented SSLS with off-label utilization of a 7- × 10-cm porcine UBM graft. We demonstrate graft shaping and application during transvaginal repair along with data describing perioperative outcomes associated with a series of 25 cases performed at our institution using the technique described. Results: No perioperative complications related to the graft were observed in our cohort. The most common postoperative concern was buttock pain, which spontaneously resolved within 6 months. Two individuals (8%) developed recurrent prolapse within 1 year of surgery. Conclusions: The UBM-augmented apical suspension allows for reinforced transvaginal prolapse repair without the use of permanent mesh material. We have observed good clinical success in our application of this technique, but dedicated research assessing long-term outcomes compared with a native tissue repair is needed.

Original languageEnglish (US)
Pages (from-to)1347-1350
Number of pages4
JournalInternational Urogynecology Journal
Volume33
Issue number5
DOIs
StatePublished - May 2022

Keywords

  • Sacrospinous ligament suspension
  • Urinary basement membrane graft
  • Vaginal prolapse repair

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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