How does sacrocolpopexy work?

A surgeon reaches the pelvic organs through abdominal incisions, either with open surgery or with keyhole instruments. The surgeon repositions the prolapsed vagina, cervix, or uterus area as appropriate, then places mesh along the vaginal wall or related supporting tissues. The upper end is secured to the sacrum, a bone at the back of the pelvis, to create internal support.

The exact repair depends on which organs have descended and whether the uterus is being retained or removed. Sacrocolpopexy treats the structural support problem; it does not automatically correct bladder, bowel, or sexual symptoms caused by another condition.

Before surgery, discuss previous operations, bowel or bladder symptoms, sexual concerns, medicines, and whether you want to preserve the uterus. Your team will explain mesh-specific considerations and alternatives such as pelvic floor repair surgery.

After the operation, walking is encouraged gradually, while strenuous lifting and vaginal intercourse are usually restricted during healing according to the surgeon's instructions. Keep follow-up appointments so wound healing, bladder function, bowel function, and prolapse symptoms can be reviewed.

Contact your surgical team urgently for heavy bleeding, fever, worsening abdominal pain, vomiting, inability to pass urine, a painful swollen leg, chest pain, or breathing difficulty. New vaginal bleeding, discharge, or pelvic pain after initial healing also deserves review because it may relate to the repair or mesh.

Ask which organs are being supported, where the mesh will be placed, what recovery limits apply, how recurrence is monitored, and which symptoms should trigger an earlier appointment.