Which specialist performs sacrocolpopexy?

Sacrocolpopexy supports a prolapsed vagina or top of the vagina by attaching it to the sacrum, the strong bone at the back of the pelvis, using a surgical graft or mesh. It may be performed through keyhole surgery or an open approach, depending on your anatomy, previous operations, symptoms, and the surgeon’s assessment. The urogynaecologist evaluates bladder, bowel, sexual, and pelvic-floor symptoms because prolapse can affect more than one organ.

Ask for a urogynaecology assessment if prolapse symptoms interfere with walking, exercise, bladder emptying, bowel movements, or intimacy. Bring a list of medicines, previous pelvic operations, and details of urinary or bowel symptoms. Discuss non-surgical options, the proposed surgical route, graft or mesh material, recovery restrictions, and alternatives. The team may include an anaesthetist and other surgical staff, but the urogynaecologist leads the prolapse operation.

Seek urgent assessment for sudden severe pelvic pain, heavy bleeding, inability to pass urine, fever, fainting, or vomiting after surgery. Before an operation, rapidly worsening symptoms or a new inability to empty the bladder also need prompt review. These signs can require medical treatment rather than a routine surgical discussion.

Ask what type of prolapse is present, why sacrocolpopexy is being suggested, and which alternatives fit your goals. Clarify expected hospital stay, activity restrictions, bladder and bowel care, follow-up, and symptoms that should trigger an urgent call.