They were divided into those with iliococcygeal fixation (n=171) and those without (n=83). Of the 876 patients operated on for prolapse between 2009 to 2014, 254 were included in the study. Any associated p-value less than 0.05 alpha were considered statistically significant. Chi-square test of independence was used in comparing the proportion of patients as stratified by various variables and their corresponding groups, while some variables were adjusted for 2x2 Fischer Exact test. The Z test of mean difference was used in comparing average values between the two groups. The cohorts were divided into those with iliococcygeal fixation (n=171) and those without (n=83). This study is a retrospective study that included patients with pelvic organ prolapse stage 2 or greater who underwent vaginal hysterectomy with and without vaginal vault fixation from 2009 to 2014 seen at the urogynecology clinic of a Philippine tertiary referral center. This study aims to assess the rate of prolapse recurrence and risk factors for recurrence as well as urinary, bowel, and sexual symptoms in women who have undergone vaginal hysterectomy with and without vaginal vault fixation for pelvic organ prolapse stage 2 or higher. Vaginal vault fixation procedures like the iliococcygeus fixation and the cul-de-sac obliteration (McCall culdoplasty) have been used to address the loss of apical support in patients with advanced-stage prolapse to prevent this recurrence.
The rate of prolapse recurrence after vaginal hysterectomy ranges from 6% to 12%.
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