Sacral Colpopexy corrects vaginal prolapse by attaching a piece of mesh to the vaginal walls and attaches it to the ligament overlying the sacrum, which holds the vagina in the correct anatomical position. This procedure can also correct uterine prolapse by attaching the cervix to the sacrum. A sacral colpopexy may be combined with other procedures such as a vaginal anterior and/or posterior repair and pubovaginal sling for advanced cases of prolapse. A hysterectomy is usually performed at this procedure, if the uterus is still present to provide long-term support of the vagina, by removing the additional strain of an intact uterus on the repair.
Sacral Colpopexy is considered the “gold standard” for advanced prolapse repair.
- Lowest recurrence rate of prolapse repairs (10%)
- Best anatomic result
- Better sexual function
- Most invasive and complicated procedure
- Mesh erosion into the vagina in about 10% of cases
Sacral Colpopexy has traditionally been performed as an open surgery through a “bikini” abdominal incision that may be 6-8 inches long. This procedure usually requires 2-3 nights in the hospital and 6-8 weeks for recovery. A minimally invasive Sacral Colpopexy can be performed using the da Vinci Robotic advanced Surgical System. This procedure uses a state-of-the-art surgical system designed to help your surgeon perform a minimally invasive surgery through small incisions.
For most women, da Vinci Sacral Colpopexy offers numerous potential benefits over a traditional open approach including:
- Significantly less pain (although you will still know you had surgery)
- Less blood loss and need for transfusions
- Less scarring
- Shorter hospital stay (usually just 1 night)
- Shorter recovery time (3-4 weeks)
- Quicker return to normal activities