Abdominal sacrocolpopexy

Abdominal sacrocolpopexy is a surgical procedure used to treat pelvic organ prolapse (POP), a condition where the pelvic organs, such as the uterus, bladder, or rectum, bulge or protrude into the vaginal canal due to weakness or damage to the pelvic floor muscles and connective tissues.

During an abdominal sacrocolpopexy:

  1. Approach: The surgery is typically performed through an abdominal incision, either through a traditional open approach or minimally invasive techniques such as laparoscopy or robotic-assisted surgery.
  2. Sacrocolpopexy: The procedure involves attaching a synthetic mesh material to the anterior (front) or posterior (back) vaginal wall, depending on the location of the prolapse. The mesh is then anchored to the sacrum, which is a triangular bone at the base of the spine. This provides support to the weakened pelvic floor and helps restore normal pelvic anatomy.
  3. Correction of Multiple Prolapses: Abdominal sacrocolpopexy can be used to correct various types of pelvic organ prolapse, including vaginal vault prolapse (prolapse of the top of the vagina after hysterectomy), anterior compartment prolapse (cystocele or bladder prolapse), and posterior compartment prolapse (rectocele or rectal prolapse).
  4. Mesh Placement: The use of synthetic mesh in sacrocolpopexy provides long-term support to the pelvic organs and reduces the risk of recurrent prolapse. However, there have been concerns about complications associated with mesh implants, including erosion into surrounding tissues, infection, and pain. Therefore, careful patient selection, meticulous surgical technique, and appropriate counseling regarding the risks and benefits of mesh placement are essential.
  5. Recovery: Recovery time after abdominal sacrocolpopexy can vary depending on factors such as the surgical approach, extent of prolapse, and individual healing. Patients typically experience some discomfort and may need several weeks to fully recover. It’s important to follow postoperative instructions provided by the surgeon, including restrictions on lifting and physical activity.

Abdominal sacrocolpopexy is considered an effective and durable treatment option for pelvic organ prolapse, particularly in cases of significant prolapse or recurrent prolapse. However, as with any surgical procedure, it carries potential risks and complications, and the decision to undergo surgery should be made in consultation with a healthcare provider after a thorough evaluation and discussion of treatment options.