What is sacro-colpopexy?
Sacro-colpopexy is a surgical procedure in which mesh is used to suspend the vaginal vault to the sacrum. The procedure is commonly performed through an abdominal incision. It can also be performed via keyhole or minimally invasive surgery - this is called laparoscopic sacro-colpopexy.
How does sacro-colpopexy work?
The vaginal vault prolapses as a result of damage to the connective tissue system which suspends the vagina to the pelvic floor muscles and bony landmarks. Using soft mesh materials sutured to the vaginal wall and attached to the sacrum, the vagina is re-positioned back over the top of the pelvic floor muscles and prevented from sliding out by the newly formed meshwork.
How does laparoscopic sacro-colpopexy compare with other surgical alternatives?
Evidence from clinical research indicates that this is one of the most successful operations for long-term cure of vault prolapse.
What types of pelvic organ prolapse are laparoscopic sacro-colpopexy suitable for?
Laparoscopic sacro-colpopexy is suitable for correction of pelvic floor defects including cystocoele, rectocoele, uterine and post-hysterectomy vault prolapse.
What are the benefits of laparoscopic sacro-colpopexy?
The benefits of laparoscopic sacro-colpopexy include those seen in laparoscopic pelvic floor repair - high success rates (over 90%), good anatomical restoration, little post-operative pain, reduced risk of painful vaginal scars and vaginal strictures.
What are the risks of laparoscopic sacro-colpopexy?
Risks associated with laparoscopic sacro-colpopexy are similar to laparoscopic pelvic floor repair. They are generally uncommon and may include risks associated anaesthesia, laparoscopic surgery, potential injury to bladder, bowel, blood vessels and nerves of the pelvis. There are also rare complications related to the use of mesh including mesh extrusion, inflammation, infection with possible consequence of recurrent vaginal discharge, painful intercourse that may necessitate the use of antibiotics, mesh trimming and rarely removal.
Is laparoscopic sacro-colpopexy right for me?
As every individual patient has different types of pelvic floor defects, different tissue quality, different health status, and different expectations, you should consult with your own specialist to determine if laparoscopic sacro-colpopexy is right for you.
At CARE, our highly experienced surgeons specialize in the management of pelvic organ prolapse. We have treated thousands of women, many of whom have been referred due to the complexity of their problems or previous unsuccessful surgical repairs. CARE surgeons are particularly skilled in the laparoscopic sacro-colpopexy and have taught and demonstrated this technique at many national and international meetings.