Procedures | Laproscopic Sacral Colpopexy


Laparoscopic Sacral Colpopexy is a minimally invasive surgical technique used to suspend the vaginal apex for the treatment of pelvic organ prolapse (ie. Fallen bladder)

  • 4 small incisions (about as wide as a fingernail) are made in the abdomen for this procedure
  • A synthetic mesh material is used to cover the anterior and posterior vaginal walls and suspend the vagina to a ligament that runs along the sacral spine.
  • “Gold Standard” surgical repair for prolapse

About the procedure:

  • Success rate is the same as the traditional approach using a midline skin incision but produces less pain, shorter hospital stay, lower blood loss, and improved cosmetic result.3-4
  • Improves vaginal biomechanical properties (ie. vaginal elasticity)1
  • Excellent long and short term success rates (78-97%)1-6
  • Majority of patients leave hospital the day after surgery
  • Over 250 of these procedures have been performed by Florida Urogynecology & Reconstructive Pelvic Surgery Physicians
  • Limitations - Not all patients are candidates for a Laparoscopic Sacral Colpopexy, your physician will discuss appropriate surgical options pertaining to your specific circumstance.

Written by Lee B. Epstein, MD MSc

Bibliography

  1. Impact of sacral colpopexy on in vivo vaginal biomechanical properties. Epstein LB, Graham CA, Heit MH. Am J Obstet Gynecol. 2008 Dec;199(6):664.e1-6. Epub 2008 Nov 4.
  2. Laparoscopic sacral colpopexy approach for genito-urinary prolapse: experience with 363 cases. Rozet F, Mandron E, Arroyo C, Andrews H, Cathelineau X, Mombet A, Cathala N, Vallancien G. Eur Urol. 2005 Feb;47(2):230-6.
  3. Laparoscopic and abdominal sacral colpopexies: a comparative cohort study. Paraiso MF, Walters MD, Rackley RR, Melek S, Hugney C. Am J Obstet Gynecol. 2005 May;192(5):1752-8.
  4. A comparison of laparoscopic and abdominal sacral colpopexy: objective outcome and perioperative differences. Klauschie JL, Suozzi BA, O'Brien MM, McBride AW. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Mar;20(3):273-9. Epub 2008 Nov 18.
  5. Laparoscopic sacral colpopexy with Gynemesh as graft material--experience and results. Agarwala N, Hasiak N, Shade M. J Minim Invasive Gynecol. 2007 Sep-Oct;14(5):577-83.
  6. Vaginal sacrospinous colpopexy and laparoscopic sacral colpopexy for vaginal vault prolapse. Marcickiewicz J, Kjöllesdal M, Engh ME, Eklind S, Axén C, Brännström M, Stjerndahl JH. Acta Obstet Gynecol Scand. 2007;86(6):733-8.