Purpose: Two techniques of (SSLF) in the terms of intraoperative parameters (time, complications) and 1-year anatomic outcomes and symptoms in patients who presented with stage 3 or 4 pelvic organ prolapse and undergoing vaginal hysterectomy.
Method: This study included 60 patients, divided into 2 groups: Group 1: will undergo SSLF in the classic way included 32 patients. Group 2: will undergo SSLF with direct approach included 28 patients. Both groups will be compared in the terms of intraoperative parameters (time, complications) and 1-year anatomic outcomes.
Results: There was a significant difference in the operating time, and associated bleeding between the 2 groups, being less in the second group. However, no significant difference in the rate of complications in both.
Conclusion: This modified direct approach has the advantage of shorter operative time and less bleeding than the classic method including post vaginal wall dissection and has the same short term results as the classic method can be used when the specialized instrument for suture placement are not available.