What is sacrocolpopexy for prolapse repair?
Sacrocolpopexy is a surgical procedure to repair pelvic organ prolapse, especially vaginal vault or uterine prolapse. It uses a synthetic mesh to support the vagina or uterus by attaching it to the sacrum (lower spine), restoring normal anatomy.
Detailed Medical Explanation
Sacrocolpopexy is typically done via a minimally invasive laparoscopic or robotic approach. The mesh is attached to the top of the vagina or cervix and anchored to the sacrum, supporting the pelvic organs. It is considered the gold standard for apical (top of the vagina) prolapse, with high long-term success and low recurrence rates. Mesh is only used after careful patient selection. (NHS: Prolapse treatment | RCOG: Prolapse after childbirth)
Clinical Context
This operation is often chosen for women with recurrent prolapse or after hysterectomy. Most recover within 4–6 weeks and report good symptom relief.
Evidence-Based Approaches
Sacrocolpopexy is supported by NHS, NICE, and international guidelines for high success and low complication rates.