wileyonlinelibrary.com/journal/anzjog 119 © 2017 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists DOI: 10.1111/ajo.12720 ORIGINAL ARTICLE A descriptive study on the efcacy and complications of the Capio (Boston Scientifc) suturing device for sacrospinous ligament fxation Alex Mowat 1 , Vivien Wong 2 , Judith Goh 3 , Hannah Krause 3 , Anita Pelecanos 4 and Peta Higgs 5 Aust N Z J Obstet Gynaecol 2018; 58: 119–124 1 Gynaecology Department, Royal Brisbane and Women’s Hospital, Brisbane, University of Queensland, Queensland, Australia 2 Gynaecology Department, QEII Hospital, Robina Hospital, Brisbane, Queensland, Australia 3 Gynaecology Department, Greenslopes Private Hospital, QEII Jubilee Hospital, Coopers Plains, Queensland, Australia 4 Queensland Institute of Medical Research, Brisbane, Queensland, Australia 5 The Sunshine Coast Private Hospital, Nambour General Hospital, Nambour, Queensland, Australia Correspondence: Dr Alex Mowat, Royal Brisbane and Women’s Hospital, University of Queensland, Queensland, Australia. Email: zanhmowat@gmail.com Conficts of Interest: The authors report no conficts of interest. Received: 11 April 2017; Accepted: 27 August 2017 Background: Sacrospinous colpopexy is an efective vaginal apical support op- eration. Due to morbidity associated with traditional approaches which require wide dissection, slim-line suture delivery devices have been introduced in the hope of reducing morbidity without compromise to outcomes. Aim: The aim of our series was to report outcomes and complications (particu- larly buttock pain and blood loss) of the sacrospinous colpopexy using the Capio suturing device and evaluate it against published results using the Miya hook. Methods: This is a prospective, multi-centre descriptive study. The primary out- come is objective success at 12 months. Secondary outcomes include subjective success at 12 months, patient-reported outcomes at 12 months, operating time, estimated blood loss and post-operative buttock pain. Results: Fifty-one consenting patients undergoing sacrospinous colpopexy were recruited at four Queensland hospitals. Objective success at 12 months was 95% (41/43) and subjective success at 12 months was 92% (44/48). Eighty-four percent of patients reported buttock pain at one week, reducing to 16% by six weeks, of which 7% required analgesia. Conclusions: At a mean of 17 months follow up, we found that the sacrospinous colpopexy using the Capio suturing device provided excellent apical support with a low requirement for blood transfusion and an average operating time of seven minutes. We found a high rate of buttock pain immediately post-operatively, but our rates became consistent with previous reports by six weeks post-operation. KEYWORDS pain, postoperative, vaginal vault prolapse INTRODUCTION Vaginal vault prolapse is a common gynaecological complaint with a rate of 6–12% post-hysterectomy. 1,2 In two-thirds of these post-hysterectomy prolapses, there is multi-compartment prolapse present 3 and it is now established that vault support signifcantly improves the results of both anterior and posterior wall reconstructive surgery, in terms of longevity of repair, reduc- ing reoperation rates at 10 years from 20% to 11%. 4 Vault sup- port can be achieved either via abdominal or vaginal techniques. Commonly used abdominal procedures include sacral colpopexy, and vaginal procedures include high uterosacral suspension and