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What is sacrospinous fixation?

What is sacrospinous fixation?

A sacrospinous fixation is an operation to attach the top of the vagina or the cervix (neck of the womb) to a pelvic ligament (sacrospinous ligament) with a stitch.

How is sacrospinous ligament fixation performed?

At Northwestern Medicine, your urogynecologist will perform the sacrospinous ligament suspension through an incision in the vagina. Either permanent and/or slowly dissolving stitches are placed into the sacrospinous ligament and then through the top of the vagina. Over time, scar tissue forms that supports the vagina.

Is Sacrocolpopexy major surgery?

Sacrocolpopexy is a major surgical procedure to treat prolapse of the vault (top) of the vagina in women who have had a previous hysterectomy by fixing it to the sacrum using a graft or mesh.

How long does it take to heal from prolapse surgery?

You can expect to feel better and stronger each day. But you may get tired quickly and need pain medicine for a week or two. You may need about 4 to 6 weeks to fully recover from open surgery and 1 to 2 weeks to recover from laparoscopic surgery or vaginal surgery.

How long does it take for stitches to dissolve after prolapse surgery?

There will be many stitches in the vagina after this surgery. The stitches will dissolve on their own and do not need to be removed. The stitches take approximately 4-8 weeks to dissolve. As long as they are there you will notice occasional vaginal bleeding or spotting.

How long does sacrospinous fixation last?

• These are worn inside the vagina and, once in, you should not be aware they are there. They are fitted by a nurse or doctor who will advise you on the type and size of pessary that might suit you best. We usually suggest you have the pessary changed every 6 months.

How long does it take to recover from Sacrocolpopexy?

Recovery from surgery usually takes two to four weeks, but sometimes longer if more strenuous activity is planned. It is normal to be very tired during this time. A patient may shower 48 hours after the surgery, but she should NOT swim or soak in water for 6 weeks after surgery.

How successful is Sacrocolpopexy surgery?

Abdominal sacrocolpopexy (ASC), an abdominal approach to apical and anterior vaginal prolapse, is considered to be the gold standard treatment for vaginal vault prolapse. Numerous studies have shown this procedure to have high success rates (78–100%) and long-term durability.

How long does Sacrocolpopexy surgery take?

The surgery takes 2-3 hours to complete. When it is over, the patient will be taken to the Post-Anesthesia Care Unit (PACU) to wake up from anesthesia.