When is laparoscopic sacrocolpopexy performed?
This procedure is performed in women who develop prolapse at the top of the vagina after hysterectomy (vaginal vault prolapse). Women with a prolapse of vaginal walls that is high up in the vagina can also benefit laparoscopic sacrocolpopexy.
What does the operation involve?
The operation is performed under a general anaesthetic through keyhole incisions (laparoscopically).
A piece of mesh is stitched along the back wall, the top and, if necessary, the front wall of the vagina. The mesh is in turn secured to the ligament over the lower backbone (sacrum). The effect of this is to support the vagina and prevent it from prolapsing down, restoring it to its normal anatomical position.
What is recovery after surgery like?
Patients are typically in hospital for 24-48 hours after surgery. Usually, on the first morning after the operation, the catheter is taken out and the drip removed. The patient is able to eat and drink and move around.
Recovery time varies from woman to woman. It is important to remember that everyone's experience is different, and it is therefore best not to compare your own recovery with that of others on the ward.
The body will be using extra energy to build new cells and repair itself and patients may therefore feel tired for 4-6 weeks after surgery. Most women will resume driving and work within 2-4 weeks.
For more information about recovering from the operation, and what to expect on going home, read our information leaflet: Laparoscopic Sacrocolpopexy
Mesh-related complications of laparoscopic sacrocolpopexy
Georgina Baines, Natalia Price, Helen Jefferis, Rufus Cartwright, Simon Jackson.
International Urogynecology Journal 2019
- Royal College of Obstetricians and Gynaecologists
- British Society of Urogynaecology
- International Urogynaecology Association
- NICE guidelines