Sacrospinous Fixation - Overview
This operation corrects vaginal vault prolapse (a prolapse involving the top of the vagina) for patients who have undergone a hysterectomy (womb removal) in the past.
This treatment aims to reduce the prolapse and restore proper vaginal shape and function. It can also be performed alongside repair for bladder or bowel prolapse.
A sacrospinous fixation uses stitches to fix the top of the vagina to a strong ligament inside the pelvis. This operation can be performed same time as vaginal hysterectomy or vaginal repairs.
What are the reasons for having Sacrospinous Fixation?
The primary condition sacrospinous fixation treats is vaginal vault prolapse. It can also be used to correct bladder or bowel prolapse to some extent if they are also present alongside.
A sacrospinous fixation will only be offered to you after thorough discussion with your healthcare specialist. This decision will depend on personal factors and the nature and extent of your prolapse.
Risks of Sacrospinous Fixation:
- Recurring Prolapse - This procedure does not always stop you from getting another prolapse, despite being highly effective in treating them.
- Failure to cure symptoms - Sometimes your symptoms may continue despite the prolapse being fixed.
- Bladder Problems - Incontinence usually improves following surgery, but can sometimes start or become worse. You can also develop stress incontinence.
- Painful sexual Intercourse - This often improves with time.
- Damage to nearby organs - This usually involves the bladder or bowel, but the risk is very low.
Pre/Post Procedure Instructions:
What happens before my surgery?
A pre-assessment appointment, a few days prior to your procedure, may also be required. This can involve having blood tests and a general health check-up. This is also a good opportunity to ask any questions about your surgery.
What should I expect following my Sacrocolpopexy procedure?
You may be able to go home the same day as your procedure, before this:
- Catheter - You may need a catheter to drain the bladder. This is usually removed the morning after surgery or later the same day.
- Once you can eat drink and pass urine comfortably you can go home.
Recovery:
- Hospital stay will usually last one to two days. We can provide a sick note if required.
- It is important to start light exercises and activities, and to follow any advice you have been given. This will reduce the risk of clots.
- You will likely feel tired and need rest during the day. This will improve over the course of a month or so.
- You may require a certificate for your employer to return to work.
- You can have sexual intercourse whenever you feel comfortable. This will usually take around 6 weeks. You may wish to use lubrication.
