What is sacrospinous Colpopexy?
Sacral colpopexy, also known as sacrocolpopexy or sacrospinous colpopexy, is a surgical procedure used to correct pelvic organ prolapse in women. When the muscles around a woman’s pelvis weaken, the pelvic organs can prolapse (slide out of place). This creates a bulge in the vagina.
What is a Colpopexy surgery?
Colpopexy is an excellent means to provide Vaginal Vault Suspension. This procedure entails suspension of the vaginal cuff to the sacrum with fascia or synthetic mesh.
What is sacrospinous Hysteropexy?
A sacrospinous hysteropexy involves supporting the uterus using stitches to fix it to a strong ligament inside the pelvis. The operation is performed through the vagina and is often performed at the same time as other prolapse operations such as anterior and posterior repair.
How long does cystocele Rectocele repair last?
Women typically recover from the cystocele repair in about 4-6 weeks. Women typically recover from the cystocele repair in about 4-6 weeks. They may resume their daily activities, including sexual intercourse, in about 4 weeks after the procedure.
How do you do Sacrospinous fixation?
Sacrospinous fixation is done through the vagina and is often performed under spinal or general anaesthetic. A cut is made in the vagina and extended to the top of the vagina. The sacrospinous ligament is identified and two stitches are placed through this ligament and secured to the top of the vagina.
Is Sacrocolpopexy safe?
Sacrocolpopexy for PHVP is effective and safe, and may offer advantages over vaginal alternatives; however, meta-analyses deserve closer scrutiny. For uterine prolapse, good quality evidence from short-term randomised studies and cohort studies support the use of mesh hysteropexy.
What happens after Sacrocolpopexy surgery?
Recovery from surgery usually takes two to four weeks, but sometimes longer if more strenuous activity is planned. It is normal to be very tired during this time. A patient may shower 48 hours after the surgery, but she should NOT swim or soak in water for 6 weeks after surgery.
How long does Sacrospinous fixation last?
This can be very painful but usually fully subsides by 6 weeks. Damage to the surrounding organs (bladder, rectum or ureter) occurs rarely and is usually repaired in surgery.
How painful is prolapse surgery?
Usually the graft is anchored to the muscles of the pelvic floor. Generally this surgery is not very painful. You may feel as if you have been ‘riding on a horseback’. You will have some discomfort and pain, so please do not hesitate to take pain medication.
How long does sacrospinous fixation last?
What can sacrospinous / uterosacral colpopexy be used for?
Sacrospinous / Uterosacral Colpopexy AIM: This surgery offers support to the upper vagina minimising risk of recurrent prolapse at this site. Indication: Upper vaginal prolapse (uterine or vault prolapse, enteroceles). This procedure can be used in reconstructive vaginal surgery where increased vaginal length is required.
Are there any major complications with sacrospinous colpopexy fixation?
[Sacrospinous colpopexy complications] There was no surgical mortality, and we noted low rates of major complications. Sacrospinous ligament fixation assumes high priority in our therapeutic regimen. There was no surgical mortality, and we noted low rates of major complications.
What does a colpopexy do to the vagina?
A colpopexy is done to reposition a woman’s vagina. In most colpopexy procedures, the vagina is sutured to the sacrospinous ligament in order to hold it in place. A vaginal prolapse may occur as a result of childbirth. Vaginal prolapse might occur in women as a result of menopause.
Can a back wall be repaired with a sacral colpopexy?
Because the vaginal vault (the expanded region of the vaginal canal at the internal end of the vagina) and back wall tend to prolapse around the same time, sacral colpopexy procedures are also commonly combined with vaginal back wall repair. There are a number of options for a woman experiencing pelvic organ prolapse.
