Hysteropexy involves lifting the prolapsed uterus back into its normal position. This is done by using a strip of synthetic mesh to lift the uterus and hold it in place. One end of the mesh is attached to the cervix and the other to the ligament over the sacrum (a bone near your spine). What is laparoscopic suture hysteropexy?
The laparoscopic suture hysteropexy offers physiologic repair of uterine prolapse. Method: At the laparoscopic suture hysteropexy, the pouch of Douglas is closed and the uterosacral ligaments are plicated and reattached to the cervix.
Is Sacrocolpopexy major surgery?
Sacrocolpopexy is a major surgical procedure to treat prolapse of the vault (top) of the vagina in women who have had a previous hysterectomy by fixing it to the sacrum using a graft or mesh. Can I get pregnant after prolapse surgery?
A pregnancy after a laparoscopic sacrohysteropexy would appear to be possible without increased risk of recurrence of POP. Consequently, surgical treatment of pelvic organ prolapse, even if family planning is not completed, can be a beneficial and useful therapeutic option.
How is Cystocele repair done?
Cystocele repair surgery is done through a small incision (surgical cut) in your vaginal wall. If a sling is being placed, your surgeon will make 2 smaller incisions on your lower abdomen (belly) or inner thigh. What is a hysteropexy in medical terms?
Hysteropexy is resuspension of the prolapsed uterus by restitching and reinforcement of its ligaments to lift the uterus and hold it in place. The operation is performed using keyhole surgery (laparoscopy).
Frequently Asked Questions(FAQ)
What can be used instead of mesh for prolapse?
Oestrogen, in the form of a cream or insert can firm up vaginal walls. Vaginal ring. A vaginal ring pessary that keeps the vaginal walls in place. Ring pessaries may be an option if a prolapse is more severe, but you would prefer not to have surgery.
How long is uterus prolapse surgery?
The length of operative time for laparoscopic colposuspension can vary greatly (3-5 hours) from patient to patient depending on the internal anatomy, shape of the pelvis, weight of the patient, and presence of scarring or inflammation in the pelvis due to infection or prior abdominal/pelvic surgery.
What is a Colpopexy surgery?
Colpopexy is an excellent means to provide Vaginal Vault Suspension. This procedure entails suspension of the vaginal cuff to the sacrum with fascia or synthetic mesh.
What is the surgery for uterine prolapse?
Sacrohysteropexy—Used to treat uterine prolapse when a woman does not want a hysterectomy. Surgical mesh is attached to the cervix and then to the sacrum, lifting the uterus back into place. Surgery using vaginally placed mesh—Used to treat all types of prolapse.
How do you lift a dropped uterus?
What should you not do after Sacrocolpopexy?
Do any heavy lifting, pushing, or pulling, for 4-6 weeks. Lift anything more than 5 pounds, such as laundry, groceries, children, or pets. Put anything in the vagina for 6 weeks after surgery unless the doctor tells her to. This includes tampons, douching and sexual intercourse.
How successful is Sacrocolpopexy surgery?
1. Sacrocolpopexy is an operation to correct uterine or vaginal vault prolapse. This surgery has a high success rate of 80 percent.
How safe is Sacrocolpopexy?
Robotic sacrocolpopexy (RSC) was first described by Di Marco et al.  in 2004. Since its introduction, RSC has proven to be a reliable, efficient, and safe surgical option for uterine/vaginal vault prolapse repair [15-17].
What happens if prolapse is left untreated?
If prolapse is left untreated, over time it may stay the same or slowly get worse. In rare cases, severe prolapse can cause obstruction of the kidneys or urinary retention (inability to pass urine). This may lead to kidney damage or infection.
How do I know if my prolapse is severe?
Signs and symptoms of moderate to severe uterine prolapse include:
- Sensation of heaviness or pulling in your pelvis.
- Tissue protruding from your vagina.
- Urinary problems, such as urine leakage (incontinence) or urine retention.
- Trouble having a bowel movement.
Does prolapse affect fertility?
Effects on Fertility and Pregnancy You might be concerned that uterine prolapse will affect the chances of you getting pregnant. Don’t worry, your fertility is not affected by the position of your uterus, but may be due to other reasons.
How painful is Cystocele surgery?
You may experience discomfort in the vagina for 1-2 weeks following the surgery. The physician may place a medicated vaginal packing in the vagina overnight. The catheter stays for 2-6 days to give the bladder more time to function normally. You may notice bloody discharge and/or odor from the vagina for 1-2 weeks.
Can Cystocele heal itself?
When to Seek Medical Care for a Prolapsed Bladder Prolapsed organs cannot heal themselves, and most worsen over time.
Does a Cystocele hurt?
Bulge in the vagina that you can feel. Aching or a feeling of pressure in the lower belly or pelvis. Lower back pain.
Does insurance cover prolapse surgery?
A: The simple answer is yes. Bladder testing, pelvic floor physical therapy and vaginal prolapse repair procedures are mostly covered by health insurance plans like any other surgical procedures and are NOT considered as cosmetic procedures.
What does the medical term Spiroid mean?
spiral : resembling a screw : spiral in form.
Can you fix prolapse without surgery?
The two non-surgical options for prolapse are pelvic floor muscle training (PFMT) and a vaginal pessary. PFMT can be effective for mild prolapse but is usually not successful for moderate and advanced prolapse. The main alternative to surgery for prolapse is a vaginal pessary.
What kind of doctor treats prolapsed uterus?
While obstetrician-gynecologists (Ob/Gyns) commonly perform pelvic prolapse surgeries, female pelvic medicine and reconstructive surgeons (urogynecologists) specialize in these types of surgeries.
Can you push a prolapse back into place?
To return a prolapsed rectum back into place, first wash your hands well. Wet a soft cloth with warm water. Then, lie on your side with your knees to your chest. Hold the cloth to the anus and use gentle pressure to push the rectum back into place.
Is a pessary better than surgery?
Although POP surgery has several advantages over pessary treatment, the risk of complications is higher and it might be less cost-effective. Since previous studies have shown promising results with pessary treatment, it might be an equivalent option in the treatment of POP, probably with less risk and lower cost.
Graduated from ENSAT (national agronomic school of Toulouse) in plant sciences in 2018, I pursued a CIFRE doctorate under contract with Sun’Agri and INRAE in Avignon between 2019 and 2022. My thesis aimed to study dynamic agrivoltaic systems, in my case in arboriculture. I love to write and share science related Stuff Here on my Website. I am currently continuing at Sun’Agri as an R&D engineer.