✦ Pelvic Organ Prolapse Treatment

Sacrohysteropexy

Q: Is sacrohysteropexy as durable as sacrocolpopexy?

Yes — 5-year outcomes are equivalent; sacrohysteropexy avoids hysterectomy without compromising the quality or durability of the prolapse repair.

Q: Can I get pregnant after sacrohysteropexy?

Pregnancy after sacrohysteropexy is possible but not recommended — pregnancy may disrupt the mesh repair; fertility should be completed before surgery.

Q: Is cervical screening still needed after sacrohysteropexy?

Yes — the uterus and cervix are preserved; regular cervical screening and uterine surveillance should continue as normal. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Uterus-Preserving Mesh Suspension for Uterine Prolapse

120–180 min PROCEDURE

2–3 Days HOSPITAL STAY

>85% SUCCESS RATE

3–4 Weeks RECOVERY

What is Sacrohysteropexy?

Sacrohysteropexy is a uterus-preserving prolapse repair in which mesh is attached to the cervix and uterosacral ligaments and secured to the sacral promontory, suspending the uterus without hysterectomy. It is suitable for women with uterine descent who wish to preserve their uterus — for fertility or personal reasons. Outcomes are equivalent to sacrocolpopexy (post-hysterectomy repair) and the procedure avoids the risks and recovery of hysterectomy. 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 uterine prolapse who wish to preserve the uterus, particularly younger women, those desiring future fertility, or those declining hysterectomy. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Laparoscopic or Open Access

Laparoscopic or open access; peritoneum incised over sacral promontory.

Ligament Identification

Posterior peritoneum opened; uterosacral ligaments identified bilaterally.

Mesh Attachment to Uterus

Mesh sutured to the cervix and posterior uterine wall bilaterally.

Sacral Fixation

Mesh tail brought to sacral promontory; secured with permanent sutures.

Peritoneal Closure

Peritoneum closed over the mesh; ports or incision closed.

Outcomes

120–180 minDURATION

2–3 DaysHOSPITAL STAY

>85%SUCCESS RATE

3–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Preserves the uterus for women who decline or are not candidates for hysterectomy.
→Equivalent long-term durability to sacrocolpopexy — the gold standard post-hysterectomy repair.
→Avoids risks of hysterectomy including haemorrhage, vault dehiscence, and longer recovery.
→Maintains normal hormonal environment without oophorectomy.
→Suitable for younger women wishing future pregnancy (though pregnancy after mesh is not recommended).
→Shorter operative time than sacrocolpopexy plus hysterectomy combined.

"Sacrohysteropexy lets us offer the durability of sacrocolpopexy without asking women to sacrifice their uterus. For younger patients and those with cultural or personal beliefs about hysterectomy, this is a genuinely important option."

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

Common Questions

Frequently Asked

Is sacrohysteropexy as durable as sacrocolpopexy?+

Can I get pregnant after sacrohysteropexy?+

Is cervical screening still needed after sacrohysteropexy?+

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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