When is sacrocolpopexy recommended for pelvic organ prolapse?

Pelvic organ prolapse occurs when support for the bladder, bowel, uterus, or vaginal walls weakens. Sacrocolpopexy uses surgical support to restore the position of prolapsed tissue, often through keyhole or open surgery. The choice depends on the organs involved, symptom burden, examination findings, previous surgery, general health, and whether future pregnancy is planned.

Record pressure, bulging, urinary, bowel, or sexual symptoms and how they change during the day. A clinician may first discuss pelvic-floor exercises, a pessary, bowel care, or bladder treatment. If surgery is considered, ask about the approach, recovery, mesh-related considerations, alternative operations, and how the plan fits with future fertility.

Arrange assessment for a vaginal bulge, pelvic pressure, difficulty emptying the bladder or bowel, or bleeding from exposed tissue. Seek urgent help if you cannot pass urine, have severe pelvic pain, heavy bleeding, fever, or a prolapse that becomes suddenly painful or discoloured.

Ask which compartment is prolapsing, what non-surgical options remain, why sacrocolpopexy suits your anatomy, and what recovery and follow-up would involve.