What is a Sacrohysteropexy?

A sacrohysteropexy is a surgical procedure used to treat cases of uterine prolapse. It can be performed either through open surgery or keyhole surgery (laparoscopy). The procedure is ideal for women who do not want a hysterectomy. A laparoscopic sacrohysteropexy procedure has a higher success rate than open sacrohysteropexy and is usually preferred by both patients and Dr G for the advantages it offers.

Laparoscopic surgery: Key Advantages

In addition to having a higher success rate than open surgery, laparoscopic sacrohysteropexy offers patients these benefits:

  • rapid recovery
  • minimal post-operative pain
  • shorter hospital stay (and therefore, lower hospital-related expenses)
  • negligible scarring
  • lower risk of complications arising

Dr G specialises in laparoscopic sacrohysteropexy and has more than ten years of experience in the field. His methods take advantage of the latest developments in medical science, ensuring that he offers his patients the best possible treatment for their individual cases.

How is a Laparoscopic Sacrohysteropexy performed?

The surgical technique employed is very similar to that employed in laparoscopic sacrocolpopexy. Using a soft mesh, Dr G will resuspend the uterus as naturally as possible. By attaching one end of the mesh to the cervix and the other to the sacrum, he will be able to rectify the prolapse with success.

Risks Associated with Laparoscopic Sacrohysteropexy

The risks associated with a laparoscopic sacrohysteropexy are few with a negligible incidence rate. They include:

  • Adverse reactions to anaesthesia. Common to all surgical procedures that necessitate the usage of general anaesthesia, these complications may arise if you have a certain genetic predisposition or fail to follow Dr G’s instructions.
  • Surgical route. Different routes of surgery can carry different risks. These complications include damage to the blood vessels of the walls of the abdomen, amongst others.
  • Structural damage to adjacent organs. It is possible for the organs, blood vessels and nerves near the uterus to be accidentally damaged during surgery.
  • Mesh or graft-related complications. Some of the risks associated with the repair material include infection, swelling, and erosion of the synthetic mesh. It must be noted, however, that the incidence of synthetic mesh-related complications is around 3 to 10%.

Surgical Alternatives to Laparoscopic Sacrohysterolpopexy

Research demonstrates that a sacrohysteropexy is more successful at treating uterine prolapses than other methods. Nevertheless, there may be instances in which alternative approaches may be advised. The surgical approach selected is typically determined by:

  • Prolapse-severity
  • Patient’s age
  • Desire for future pregnancy
  • Patient’s state of health
  • Previous surgeries (especially repair surgeries)
  • Experience and training of surgeon
  • Documented outcomes, success-rates, and complications

The choice of surgical method is also influenced by:

  • route of surgery
  • repair material used (including patient tissue, grafts, or mesh)
  • locations of the mesh, stitches, and graft

Should You Choose a Laparoscopic Sacrohysteropexy?

Since the individual nature of your case will have unique requirements and necessitate tailored treatment, Dr G will explain whether a laparoscopic sacrohysteropexy is most suitable for you at the time of your consultation.