✦ Bladder Prolapse Treatment

Laparoscopic Sacrocolpopexy

Q: Is laparoscopic sacrocolpopexy as durable as open?

Yes — laparoscopic sacrocolpopexy achieves equivalent 5- and 10-year durability to open surgery with the benefits of minimally invasive technique.

Q: Are there risks from the mesh?

Mesh erosion into the vagina occurs in 2–5% of cases; careful surgical technique and covering the mesh with peritoneum minimise this risk.

Q: Can I have sex after laparoscopic sacrocolpopexy?

Sexual activity is resumed at 6–8 weeks post-operatively; mesh repairs typically maintain vaginal length and function for comfortable intercourse.

Laparoscopic Mesh Repair to Correct Bladder and Vault Prolapse

120–180 min PROCEDURE

2–3 Days HOSPITAL STAY

>85% SUCCESS RATE

3–4 Weeks RECOVERY

What is Laparoscopic Sacrocolpopexy?

Laparoscopic Sacrocolpopexy attaches a Y-shaped mesh to the anterior and posterior vaginal walls and suspends it to the sacral promontory using laparoscopic instruments and small port incisions. It provides durable repair of bladder prolapse (anterior compartment), vault prolapse, and posterior compartment defects simultaneously. The laparoscopic approach offers equivalent durability to open sacrocolpopexy with reduced blood loss, shorter hospital stay, and faster recovery. The procedure is performed under general or spinal anaesthesia with a hospital stay of 2–3 Days. Success rates reach >85% in appropriately selected patients at experienced centres.

Women with symptomatic bladder prolapse (cystocele), vaginal vault prolapse, or multi-compartment pelvic organ prolapse requiring durable surgical correction. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Port Placement

Four laparoscopic ports placed; peritoneum incised over the sacral promontory and vagina.

Vaginal Wall Dissection

Vaginal walls dissected anteriorly and posteriorly creating space for mesh placement.

Mesh Attachment to Vagina

Y-shaped polypropylene mesh sutured to the anterior and posterior vaginal walls.

Sacral Fixation

Mesh tail brought to the sacral promontory and secured with permanent sutures or tacks.

Peritoneal Closure

Peritoneum closed over the mesh; ports removed; vaginal apex suspended.

Outcomes

120–180 minDURATION

2–3 DaysHOSPITAL STAY

>85%SUCCESS RATE

3–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Over 85% anatomical and symptom success at 5 years.
→Durable repair addressing all compartments simultaneously.
→Less blood loss than open sacrocolpopexy — no large abdominal incision.
→Shorter hospital stay compared to open approach.
→Equivalent long-term durability to open sacrocolpopexy.
→Natural vaginal axis preserved allowing comfortable intercourse.

"Laparoscopic sacrocolpopexy delivers open-surgery durability through minimally invasive ports. Our patients experience the best of both worlds — excellent long-term cure with faster recovery and smaller scars."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Is laparoscopic sacrocolpopexy as durable as open?+

Are there risks from the mesh?+

Can I have sex after laparoscopic sacrocolpopexy?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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