✦ Pelvic Organ Prolapse Treatment

Open / Laparoscopic Sacrocolpopexy

Q: When is open preferred over laparoscopic sacrocolpopexy?

Open is preferred for complex redo cases, significant adhesions, or very large prolapse where laparoscopic access is technically challenging.

Q: How long does the repair last?

Sacrocolpopexy has the highest long-term durability of any prolapse repair; 85–90% of patients have satisfactory outcomes at 10 years.

Q: What is the risk of mesh complications?

Mesh erosion occurs in 2–5% of cases; careful surgical technique and avoiding tension on the mesh minimises this risk significantly.

Mesh-Based Sacral Suspension for Durable Pelvic Organ Prolapse Repair

120–200 min PROCEDURE

2–4 Days HOSPITAL STAY

>85% SUCCESS RATE

4–6 Weeks RECOVERY

What is Open / Laparoscopic Sacrocolpopexy?

Sacrocolpopexy — performed via open laparotomy or laparoscopic approach — is the gold-standard surgical treatment for symptomatic pelvic organ prolapse, particularly vaginal vault prolapse. A Y-shaped polypropylene mesh is sutured to the vaginal walls and fixed to the sacral promontory, restoring the normal vaginal axis and providing durable long-term support. Open sacrocolpopexy is chosen for complex cases or when laparoscopic access is not available. The procedure is performed under general or spinal anaesthesia with a hospital stay of 2–4 Days. Success rates reach >85% in appropriately selected patients at experienced centres.

Women with symptomatic vault prolapse, multi-compartment pelvic organ prolapse, or those requiring the most durable surgical repair, particularly after hysterectomy. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Presacral Space Access

Open or laparoscopic access to the presacral space established.

Vaginal Wall Dissection

Peritoneum incised; vaginal walls dissected anteriorly and posteriorly.

Mesh Attachment to Vagina

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

Sacral Fixation

Mesh secured to the sacral promontory with permanent sutures.

Peritoneal Closure

Peritoneum closed over the mesh; incision or ports closed.

Outcomes

120–200 minDURATION

2–4 DaysHOSPITAL STAY

>85%SUCCESS RATE

4–6 WeeksFULL RECOVERY

Who Needs This Treatment?

→Gold-standard for vault prolapse with highest long-term durability.
→Mesh restores normal vaginal axis preserving sexual function.
→Open approach allows direct palpation in complex or redo cases.
→Success rates exceed 85% at 5 years in experienced centres.
→Addresses all compartments simultaneously — anterior, apical, and posterior.
→Laparoscopic approach offers reduced morbidity compared to open.

"Sacrocolpopexy — open or laparoscopic — provides the most durable correction of vault prolapse available. When patients ask for the best long-term result, this is the operation we recommend."

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

Common Questions

Frequently Asked

When is open preferred over laparoscopic sacrocolpopexy?+

How long does the repair last?+

What is the risk of mesh complications?+

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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