Female Urology: Sacrocolpopexy Procedure for Pelvic Organ Prolapse

Sacrocolpopexy is a surgical procedure that is primarily used to treat pelvic organ prolapse, a condition in which the pelvic organs drop from their normal position.

This procedure helps provide vaginal support and is commonly performed in female urology to address prolapse issues. During a Sacrocolpopexy, surgical mesh is used to hold the prolapsed organs in place, providing a long-term solution for patients.

If you are experiencing symptoms of pelvic organ prolapse such as a feeling of fullness or pressure in the pelvis, tissue protruding from the vagina, or urinary incontinence, it may be time to consider Sacrocolpopexy surgery.

Consulting with a healthcare provider specializing in female urology can help determine if this procedure is the right option for you.

Indications of Sacrocolpopexy

Sacrocolpopexy is recommended for women who have significant pelvic organ prolapse that is causing bothersome symptoms and impacting their quality of life.

  • Vaginal bulging or pressure
  • Difficulty emptying the bladder or bowels
  • Recurrent urinary tract infections
  • Urinary incontinence
  • Pelvic pain or discomfort

If you are experiencing any of these symptoms, it is essential to consult with a healthcare provider specializing in pelvic organ prolapse surgery to discuss your treatment options, including Sacrocolpopexy.

Steps involved in Sacrocolpopexy Surgery

Sacrocolpopexy is typically performed under general anesthesia and involves the following steps:

  • An incision is made in the abdomen to access the pelvic organs.
  • The surgeon attaches surgical mesh to the sacrum (lower spine) and the prolapsed organs to provide support.
  • The mesh is secured in place to hold the organs in their correct position.
  • The incisions are closed, and the patient is monitored in the recovery room.

This minimally invasive surgery is highly effective in providing long-term support for the pelvic organs and improving symptoms associated with pelvic organ prolapse.

Who will perform Sacrocolpopexy Surgery?

Sacrocolpopexy surgery is typically performed by a gynecologic surgeon who specializes in female urology and pelvic organ prolapse surgery.

These healthcare providers have specific training and expertise in treating conditions related to the female reproductive system and are well-equipped to perform complex surgical procedures like Sacrocolpopexy.

Before undergoing Sacrocolpopexy surgery, it is essential to discuss your options with your healthcare provider and ensure that you are comfortable with the surgeon who will be performing the procedure.

Building a trusting relationship with your healthcare team can help alleviate any anxiety or concerns you may have about the surgery.

Preparing for Sacrocolpopexy Surgery

Before undergoing Sacrocolpopexy surgery, your healthcare provider will provide you with specific instructions to help you prepare for the procedure.

  • Avoiding eating or drinking for a certain period before the surgery.
  • Taking medications as prescribed by your healthcare provider.
  • Arranging for transportation to and from the hospital on the day of the surgery.
  • Packing a bag with essential items for your hospital stay, such as comfortable clothing and toiletries.

Following these guidelines and communicating openly with your healthcare team can help ensure a smooth and successful Sacrocolpopexy surgery.

Recovery after Sacrocolpopexy surgery

Recovery after Sacrocolpopexy surgery typically involves a hospital stay of 1-2 days to monitor your progress and ensure proper healing.

During this time, your healthcare team will provide pain management, monitor your incision sites, and help you begin the recovery process.

Once you are discharged from the hospital, it is essential to follow your healthcare provider's instructions for post-surgery care, which may include:

  • Taking prescribed medications as directed.
  • Avoiding heavy lifting or strenuous activities for a certain period.
  • Attending follow-up appointments with your healthcare provider.
  • Notifying your healthcare team of any concerning symptoms or complications.

By following these guidelines and practicing self-care during your recovery, you can help facilitate healing and achieve the best possible outcomes after Sacrocolpopexy surgery.

Before and After Sacrocolpopexy surgery

Before undergoing Sacrocolpopexy surgery, it is crucial to discuss your expectations and goals with your healthcare provider. Understanding the potential benefits and risks of the procedure can help you make an informed decision about your treatment options.

After Sacrocolpopexy surgery, you may experience some discomfort and limited mobility as your body heals. It is essential to give yourself time to rest and recover fully before resuming your normal activities.

Your healthcare provider will provide you with specific instructions for post-surgery care to ensure a smooth recovery process.

By following your healthcare provider's guidance and attending follow-up appointments, you can monitor your progress and address any concerns that may arise during your recovery.

Remember to be patient with yourself and prioritize self-care as you navigate the journey to improved pelvic health after Sacrocolpopexy surgery.

 

Frequently Asked Questions

What are the potential complications after sacrocolpopexy?

Potential complications after sacrocolpopexy may include infection, bleeding, mesh erosion, bowel or bladder injury, pain during intercourse, or recurrence of prolapse.

How long does it take to recover from sacrocolpopexy?

Recovery from sacrocolpopexy typically takes about 4 to 6 weeks, but it can vary depending on individual circumstances and the type of work or activities you do.

Is sacrocolpopexy a suitable treatment for all pelvic organ prolapse cases?

Sacrocolpopexy is a effective treatment for many cases of pelvic organ prolapse, especially when the top of the vagina is dropping or protruding into the vaginal opening. However, the best treatment for each individual depends on various factors and should be discussed with a healthcare provider.

What is the success rate of sacrocolpopexy?

Sacrocolpopexy has a success rate of about 85-90% in treating vaginal prolapse.

Can sacrocolpopexy prevent recurrence of prolapse?

Yes, sacrocolpopexy is a surgical procedure that can effectively prevent the recurrence of prolapse by providing long-term support to the pelvic organs.

What are the risks associated with sacrocolpopexy?

Risks of sacrocolpopexy may include bleeding, infection, injury to nearby organs, mesh-related complications, and recurrence of prolapse. Your doctor will discuss these risks with you before the procedure.

How long do the mesh implants last in sacrocolpopexy?

Mesh implants used in sacrocolpopexy are designed to be permanent and can last a lifetime.

Is sacrocolpopexy effective for incontinence as well as prolapse?

Sacrocolpopexy is primarily used to treat pelvic organ prolapse, not incontinence. It may improve mild stress incontinence but is not a primary treatment for incontinence.

Will sacrocolpopexy affect sexual function?

Sacrocolpopexy usually does not negatively impact sexual function, and may even improve it by providing better support for pelvic organs.

How is the quality of life after sacrocolpopexy surgery?

After sacrocolpopexy surgery, many patients experience improvements in quality of life, such as reduced symptoms of pelvic organ prolapse and better urinary function.