Does sacrocolpopexy treat uterine prolapse?

Uterine prolapse happens when the tissues supporting the womb weaken and the uterus moves downward. A sacrocolpopexy uses a graft to connect the cervix or upper vagina to strong tissue near the sacrum, helping restore support. In a uterus-preserving approach, the womb stays in place and the graft supports the cervix. Another plan may combine sacrocolpopexy with hysterectomy. The right approach depends on the degree and pattern of prolapse, symptoms, medical history, and whether preserving the uterus matters to you.

Ask for an examination that describes the uterus, vaginal walls, and any bladder or bowel prolapse. Pelvic-floor physiotherapy and a pessary may help some people manage symptoms without surgery. If an operation is proposed, discuss the route, graft, recovery, lifting limits, effects on urination and bowel movements, and implications for future pregnancy. Tell the surgeon about prior operations, bleeding problems, medicines, and your reproductive plans.

Seek urgent medical care for severe pelvic pain, inability to pass urine, heavy bleeding, fever, or prolapsed tissue that becomes injured, dark, or very swollen. After a sacrocolpopexy, call the surgical team for worsening pain, fever, heavy bleeding, wound separation, new urinary difficulty, or foul-smelling discharge. Prompt review can identify complications early.

Ask whether your uterus can be preserved, what other prolapse is present, and which symptoms the proposed repair is expected to address. Clarify alternatives, recovery, graft-related issues, recurrence, sexual activity, pregnancy planning, and the follow-up schedule.