What is sacrospinous colpopexy?

Sacral colpopexy, also known as sacrocolpopexy or sacrospinous colpopexy, is a surgical procedure used to correct pelvic organ prolapse in women. When the muscles around a woman’s pelvis weaken, the pelvic organs can prolapse (slide out of place). This creates a bulge in the vagina.

How is colpopexy done?

The procedure is usually performed through either an abdominal incision or key hole surgery (laparoscopy or robotic). A piece of synthetic mesh made out of prolene is sewn to the top of the vagina and then to the front of the sacrum. The sacrum is the lower part of the bony spinal column.

How do you do sacrospinous fixation?

A sacrospinous fixation involves supporting the vaginal vault using stitches to fix it to a strong ligament inside the pelvis. The operation is performed through the vagina and is often performed at the same time as other prolapse operations such as vaginal hysterectomy, anterior and posterior repair.

What is ligament fixation?

Sacropinous ligament fixation is a surgical procedure used to correct bulging of the vagina, also known as prolapse of the vagina.

What does the term colpopexy mean?

Colpopexy: The use of stitches to bring a displaced vagina back into position against the abdominal wall.

Does sacrospinous fixation use mesh?

The sacrospinous ligament fixation was performed with a mesh interposition between sacrospinous ligament complex and vaginal apex. The mesh was extended to anterior and posterior vaginal wall for the repair of concurrent cystocele and rectocele, if indicated.

What does the sacrospinous ligament do?

Function. The sacrospinous and sacrotuberous ligaments assist in pelvic stability. The ligament works with the sacrotuberous ligament to prevent rotation of the illum past the sacrum thus preventing excessive twisting of the pelvis, low back pain, and SIJ strain.

What is sacrospinous ligament fixation?

A sacrospinous fixation is an operation designed to restore support to the uterus or vaginal vault (in a woman who has had a hysterectomy). Through a cut in the vagina, stitches are placed into a strong ligament (sacrospinous ligament) in the pelvis and then to the cervix or vaginal vault.

What is sacrospinous ligament?

The Sacrospinous ligament (small/anterior sacrosciatic ligament of the sacroiliac joint) is a pelvic ligament. Anteriorly, The sacrospinous ligament covers the coccygeus muscle. It is attached from the spine of the ischium and the outer edge of the sacrum and coccyx.

How successful is Sacrocolpopexy surgery?

1. Sacrocolpopexy is an operation to correct uterine or vaginal vault prolapse. This surgery has a high success rate of 80 percent.

What is transvaginal sacrospinous colpopexy used for?

Transvaginal sacrospinous colpopexy is currently used to repair varying degrees of vaginal vault prolapse. It involves placing a stitch from the vaginal cuff to the sacrospinous ligament approximately 2 cm medial to the ischial spine to correct the defect.

How effective is sacrospinous fixation for upper vaginal prolapse?

The sacrospinous fixation is highly effective at controlling upper vaginal prolapse with a failure rate of only 5-10% Buttock pain on the side that the sacrospinous sutures have been passed occurs in 5-10% women. This can be very painful but usually fully subsides by 6 weeks.

What is sacrospinous fixation/illeococcygeus suspension?

Sacrospinous Fixation/Illeococcygeus Suspension Prolapse of the vagina or uterus is a common condition with 11-19% of women undergoing surgery for prolapse during their lifetime. Prolapse often occurs as a result of damage to the support structures of the uterus and vagina.

What is the success rate of sacral colpopexy?

Outcomes. Long-term success rates for sacral colpopexy ranged from 78% to 100% when success was defined as no postoperative apical prolapse and from 58% to 100% when defined as no postoperative in any compartment [ Nygaard et al. 2004 ].