Case Report

International Urogynecology Journal

, Volume 19, Issue 9, pp 1311-1313

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

Serious complication 1 year after sacrospinous ligament fixation

  • Violet J. FaberAffiliated withDepartment of Obstetrics and Gynecology, Meander Medical Centre Email author 
  • , Huub C. van der VaartAffiliated withDepartment of Obstetrics and Gynecology, University Medical Centre Utrecht
  • , Ben G. F. HeggelmanAffiliated withDepartment of Radiology, Meander Medical Centre
  • , Steven E. Schraffordt KoopsAffiliated withDepartment of Obstetrics and Gynecology, Meander Medical Centre


Myositis of the gluteal region caused by group A streptococci 1 year after a sacrospinous ligament fixation was recognised as a serious complication of this procedure. Most likely, the infection was spread to the gluteal region through a port d’entree caused by vaginal atrophy, via the non-resorbable sutures. The patient was treated successfully with antibiotics intravenous and local estrogens.


Sacrospinous ligament fixation Prolapse Myositis Group A streptococci