Subjects with fibromyalgia by tender point tenderness had significantly higher iliococcygeal
pain and posterior vaginal wall pain than women without fibromyalgia.
This is followed by providing apical support to the iliococcygeal
fascia and then to the retroperitoneal uterosacral ligaments at the level of their insertion at S2-S3.
We also want to use a certain amount of finesse, taking care not to traumatize the sacrospinous ligament, arcus tendineus, or most importantly, the iliococcygeal
, coccygeal, and obturator internus muscles.
Furthermore, in a study comparing sacrospinal fixation with iliococcygeal
fixation, patient satisfaction was higher (91% vs.