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Sacrocolpopexy is a surgical technique for repairing pelvic organ prolapse.
Reconstruction is achieved with an open abdominal technique or with the use of minimally invasive techniques.
The specific treatment approach is chosen in accordance with the type and degree of pelvic organ prolapse, as well as the severity of symptoms.
It uses soft synthetic mesh to support pelvic organ prolapse.
The mesh is initially held in place by friction from strap-like arms of mesh material woven through the pelvis, and body tissues then grow through the mesh, creating the final support.
A minimally invasive surgery takes only one to two hours.
Can be performed following a hysterectomy to provide long-term support of the vagina.
It is performed by abdominal or laparoscopic access, rather then by vaginal access for vaginal suspension.
Vaginal suspension procedures suspend the synthetic mesh from pelvic ligaments, while sacrocolpopexy suspends the mesh from the sacrum.
When using sacrocolpopexy compared to open surgery, there are lower failure rates and fewer associated complications, with less pain, bleeding, and scarring, with a shorter hospital stay and faster recovery.
Complications associated with sacrocolpopexy are:
Complications include difficulty urinating and possible injury to blood vessels, nerves, bladder and bowel, and mesh material becoming exposed in the vaginal canal.
Not an appropriate for pregnant women or for women planning future pregnancies.