Sacrocolpopexy surgery: what to expect

The operation treats a loss of pelvic support that can cause pressure, a vaginal bulge, trouble emptying the bladder, constipation, or discomfort with activity. Mesh is placed along the front, back, or both sides of the vagina and attached to strong tissue over the sacrum. Your surgeon will explain whether your uterus is retained or removed and whether another repair is needed.

The procedure can be performed as open surgery or through small abdominal openings with a camera. [Sacrocolpopexy](/treatments/gynaecological-surgery/sacrocolpopexy/) is distinct from other [Pelvic Floor Repair Surgery](/treatments/gynaecological-surgery/pelvic-floor-repair-surgery/), and the role and limits of [Surgical Mesh](/materials/surgical-mesh/) should form part of consent.

Tell the team about medicines, allergies, previous abdominal surgery, bowel habits, urinary leakage, and your goals. Plan help at home, because bending, lifting, and vigorous exercise may be limited for a period after surgery. Walk as advised, prevent constipation with the plan provided, and attend review visits. Do not resume vaginal sex, driving, or strenuous exercise until your surgeon says it is suitable.

Call your care team for increasing pain, fever, foul-smelling discharge, wound redness, difficulty passing urine, or bleeding that is becoming heavier. Seek emergency help for chest pain, breathlessness, fainting, severe abdominal pain, or a painful swollen leg.

Ask what type of prolapse you have, why sacrocolpopexy is being offered, which approach is planned, and what alternatives are available. Discuss mesh-related concerns, possible changes to bladder or bowel function, recovery restrictions, recurrence, and the plan if symptoms continue.