Sacrohysteropexy

Sacrohysteropexy is a surgical procedure aimed at correcting uterine prolapse, a condition where the uterus descends from its normal position into the vagina. Unlike more traditional procedures that may involve the removal of the uterus (hysterectomy), sacrohysteropexy preserves the uterus by suspending it from the sacrum (the lower back part of the spine) using a mesh or other synthetic material. This procedure is considered for women who wish to retain their uterus, possibly for future pregnancies or personal reasons.

Indications

Sacrohysteropexy is indicated for women suffering from symptomatic uterine prolapse who desire to retain their uterus. Symptoms of uterine prolapse can include a feeling of heaviness or pulling in the pelvis, urinary incontinence, pelvic pressure, and difficulties with sexual function. It is often considered when conservative treatments, such as pelvic floor exercises or the use of a pessary, have failed to provide relief.

Procedure

The procedure can be performed through an abdominal approach, either as an open surgery or more commonly, using minimally invasive techniques such as laparoscopy. During the surgery, the surgeon attaches one end of a synthetic mesh to the cervix or the upper part of the uterus and the other end to the sacrum. This mesh acts as a sling, holding the uterus in its correct position. The use of minimally invasive techniques has been associated with shorter recovery times, less postoperative pain, and reduced risk of complications.

Risks and Complications

As with any surgical procedure, sacrohysteropexy carries risks. Complications may include infection, bleeding, damage to surrounding organs (such as the bladder or rectum), and mesh-related problems such as erosion or migration. However, the risk of significant complications is generally low.

Recovery

Recovery from sacrohysteropexy varies depending on the surgical approach used. Patients undergoing minimally invasive surgery may be able to return to normal activities more quickly than those having open surgery. It is generally recommended to avoid heavy lifting and strenuous activity for a period of time after the procedure to allow proper healing.

Outcomes

Sacrohysteropexy has been shown to be an effective treatment for uterine prolapse, with high rates of patient satisfaction and low rates of recurrence. It allows women to retain their uterus, which can be important for those desiring future pregnancies or for personal reasons.