About Sacrocolpopexy
Key Highlights
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Considered the gold standard surgical treatment for apical vaginal prolapse (prolapse of the top of the vagina).Offers high long-term success rates (often over 90%) for correcting prolapse and relieving symptoms.Can be performed using minimally invasive techniques like laparoscopy or robotic surgery, leading to smaller scars and less post-operative pain.Effectively restores normal pelvic anatomy and function, improving quality of life.Preserves vaginal length and sexual function in most patients.Durable repair that aims to prevent recurrence of the prolapse./ul
Who is this surgery for?
- Symptomatic apical pelvic organ prolapse (Stage 2 or higher) where the top of the vagina descends.
- Failed previous prolapse surgery requiring a more definitive repair.
- Women who have completed childbearing and desire a long-term solution for prolapse.
- Presence of bothersome symptoms like a sensation of vaginal bulging or fullness, pelvic pressure or heaviness.
- Associated urinary issues (incontinence, difficulty emptying) or bowel dysfunction (constipation, straining) due to the prolapse.
- When conservative management options like pelvic floor physiotherapy or pessaries have been ineffective or are not desired.
How to prepare
- Complete a thorough medical evaluation, including a detailed pelvic exam to assess the type and severity of prolapse.
- Undergo pre-operative tests such as blood work, urine analysis, and possibly imaging (like an MRI) or urodynamic studies.
- Discuss all current medications with your doctor; you may need to stop blood thinners (e.g., aspirin, warfarin) several days before surgery.
- Maintain a healthy diet and avoid smoking to promote optimal healing.
- Follow specific fasting instructions (typically no food or drink after midnight) before the scheduled surgery.
- Plan for post-operative support at home and arrange for time off work during the initial recovery period.
Risks & possible complications
- General surgical risks: Reaction to anesthesia, bleeding, infection, or blood clots (deep vein thrombosis).
- Injury to nearby organs such as the bladder, ureters, bowel, or blood vessels during surgery.
- Mesh-related complications: Erosion of the mesh into the vagina (exposure), pain, or infection, which may require additional treatment or surgery.
- Recurrence of the prolapse or development of a new type of prolapse in a different compartment.
- Persistent pain, including pelvic or groin pain.
- Urinary problems: New or worsening stress urinary incontinence, difficulty urinating, or urinary tract infections.
- Bowel dysfunction such as constipation or, rarely, injury to the rectum.
- Scar tissue formation or sexual dysfunction.
Recovery & hospital stay
- Hospital stay is typically required for 1-3 days for monitoring and initial pain management.
- Avoid heavy lifting (nothing heavier than 5-10 kg), strenuous exercise, and prolonged standing for at least 6-8 weeks.
- No sexual intercourse or placing anything in the vagina (like tampons) for approximately 6-8 weeks post-surgery.
- Manage pain with prescribed medications and use ice packs to reduce swelling and discomfort.
- Follow a high-fiber diet and use stool softeners as recommended to prevent constipation and straining.
- Gradually increase walking and light activities as tolerated; full recovery to normal activities may take 6-12 weeks.
- Attend all scheduled follow-up appointments with your gynaecologist to monitor healing.
- Contact your doctor immediately for signs of infection (fever, foul-smelling discharge), severe pain, or heavy bleeding.
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Typical hospital stay: 2-3 days
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Expected recovery time: 6-12 weeks
Frequently Asked Questions
If you are considering sacrocolpopexy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for sacrocolpopexy in India include Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, Manipal Hospital Mukundapur, SIMS Hospital Vadapalani, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform sacrocolpopexy. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for sacrocolpopexy compare across other countries where we have data.
Top hospitals for Sacrocolpopexy in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing sacrocolpopexy.
Rohan Joshi, a 58-year-old retired school...
Rohan Joshi, a 58-year-old retired school principal, had always been active and enjoyed gardening. After his wife passed away five years ago, he took over all household chores. Over the past two years, he began experiencing a persistent, heavy dragging sensation in his pelvis, like something was falling out. It worsened by the end of the day, making his beloved gardening painful. He also had chronic lower backache and increasing difficulty with bowel movements. Initially embarrassed, he dismissed it as aging, but the discomfort became debilitating. His GP referred him to a urogynaecologist, Dr. Mehta. After a thorough exam, Dr. Mehta diagnosed a significant rectocele and enterocele, a prolapse of the back vaginal wall and small bowel. He explained that Rohan's years of heavy lifting, combined with natural tissue weakening, had caused it. He recommended a sacrocolpopexy, using a mesh to permanently support the vaginal apex by attaching it to the sacrum. Rohan was anxious about surgery but trusted Dr. Mehta's gentle explanation. The robotic-assisted procedure went smoothly. Recovery involved six weeks of strict no lifting, which frustrated the independent Rohan, but his daughter helped. By three months, the dragging sensation was gone. His back pain resolved, and he could garden again without pain. Emotionally, he moved from silent suffering and embarrassment to immense relief and regained confidence. He felt he got his active life back and was grateful he sought help.
Obstetrics and Gynaecologists for Sacrocolpopexy
Explore experienced obstetrics and gynaecologists who regularly perform sacrocolpopexy and provide pre- and post-operative care in India.
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Manipal Hospital Old Airport Road, Bangalore
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