When the prolapse of the apex, or top of the vagina, is noted on your pelvic examination, it is necessary to have that area supported and fixed before the repairs are done for the bladder (cystocele) or the area near the rectum (rectocele). If not supported, the prolapse repairs may not last as long as expected, and the bulge in the vagina may come back very soon.
Two techniques that have been proven effective, with results lasting 60-85% over 5 years, are the uterosacral ligament fixation and the sacrospinous fixation. These techniques involve putting stitches that are usually dissolvable to the support system (called ligaments), which existed before having vaginal deliveries. Your doctor will attach stitches to the strong part of the ligaments. With time, the stitches dissolve and strong tissue usually develops, simulating the older strong ligaments. Like with most prolapse repair surgeries, your physician will suggest weight, activity/lifestyle and lifting alterations after having this procedure done to preserve the results.
Advantages of these techniques include:
- Does not involve the use of mesh
- Cosmetic (no scars visualized)
- Overnight procedure
Our fellowship-trained surgeons are highly experienced and trained to help you manage your prolapse and develop a care plan just for you.