What to expect from sacrocolpopexy for pelvic organ prolapse

Sacrocolpopexy is usually performed under general anaesthesia using keyhole incisions, although an open operation may be appropriate in some situations. The surgeon attaches mesh between the vagina or cervix and the strong tissue over the sacrum. This lifts and supports the vaginal walls and can improve a bulge, pressure, or difficulty emptying the bladder or bowel. Your surgeon will explain whether the uterus is being kept or removed and whether another repair is planned.

After surgery, a urinary catheter and temporary vaginal packing may be used. Mild abdominal soreness, tiredness, bloating, and light vaginal bleeding can occur while tissues heal.

Beforehand, discuss medicines, constipation, bladder symptoms, sexual activity, and any plans for future pregnancy. Arrange help with meals, shopping, and lifting after discharge. Walk gently and increase activity in small steps, but avoid heavy lifting and strenuous exercise until your surgical team says healing is adequate. Keep wounds clean and follow instructions about bathing, bowel movements, pain relief, and follow-up. Avoid vaginal sex and inserting anything into the vagina for the period advised by your surgeon.

Contact your surgical team promptly for fever, worsening pain, foul-smelling discharge, heavy bleeding, redness or drainage from an incision, repeated vomiting, or difficulty passing urine. Seek urgent care for sudden chest pain, severe breathlessness, fainting, or a painful swollen leg. A new vaginal bulge, persistent bladder trouble, or pain during sex should be discussed at follow-up because prolapse symptoms can need assessment even when recovery otherwise seems settled.

Ask which organs are prolapsed, whether mesh and a hysterectomy are planned, how your operation will be performed, and what other repairs may be needed. Clarify catheter care, driving, work, exercise, sex, constipation prevention, follow-up timing, and symptoms that require a same-day call.