Does sacrocolpopexy treat pelvic organ prolapse?

During sacrocolpopexy, a surgeon attaches a supportive graft between the upper vagina or cervix and the tissue over the sacrum. This restores support from above rather than placing support only at the vaginal opening. The operation may be considered when prolapse causes pressure, a bulge, difficulty emptying the bladder or bowel, or discomfort with activity. The exact repair depends on which compartments are prolapsed and whether the uterus is being preserved. It does not treat every pelvic symptom, and other support defects may need separate attention.

A pelvic-floor or gynaecology assessment can map the prolapse and discuss non-surgical options such as pelvic-floor physiotherapy or a pessary. If surgery is being considered, ask about the surgical route, graft material, recovery restrictions, bladder and bowel effects, and alternatives. Share plans for future pregnancy, previous abdominal operations, medical conditions, and medicines. These details can change which repair is appropriate and how preparation is arranged.

Seek urgent help if prolapse causes inability to pass urine, severe pain, heavy bleeding, fever, or tissue that is injured, dark, or rapidly swelling. After surgery, contact the surgical team promptly for fever, worsening pain, heavy bleeding, new difficulty passing urine, wound problems, or unusual discharge. Emergency symptoms should not wait for a scheduled review.

Ask which part of the pelvis is prolapsed, what sacrocolpopexy would repair, and whether the uterus would remain in place. Discuss expected recovery, lifting and activity limits, graft-related concerns, recurrence, sexual activity, and alternatives that match your goals.