Sacrocolpopexy

Sacrocolpopexy Surgery in Dubai At Emirates Hospitals Group. The department boasts of best gynaecologists in Dubai known for their expertise in treating complex pelvic floor disorders. Sacrocolpopexy is a minimally invasive surgical procedure used to address vaginal vault prolapse, a condition where the upper portion of the vagina loses support and bulges downward after a hysterectomy (removal of the uterus).

• Causes & Symptoms
• Procedure
• Benefits
• Recovery

Causes of Vaginal Vault Prolapse

The primary cause of vaginal vault prolapse is a hysterectomy, particularly a vaginal hysterectomy. During this procedure, the vaginal tissues are stretched and weakened to access the uterus. This can leave the remaining vaginal tissues less supportive, predisposing them to prolapse over time. Additional factors can also contribute to vaginal vault prolapse:

• Weakened pelvic floor muscles: Factors like childbirth, chronic straining, and menopause can weaken the pelvic floor muscles that support the vaginal vault.
• Connective tissue disorders: Conditions like Ehlers-Danlos syndrome can affect the strength and integrity of the pelvic floor tissues, increasing the risk of prolapse.
• Obesity: Excess weight puts additional strain on the pelvic floor muscles and organs, increasing the risk of vaginal vault prolapse.

Symptoms of Vaginal Vault Prolapse

Women with vaginal vault prolapse may experience a range of symptoms, including:

• Pelvic pressure or heaviness: This can feel like a bulge or sensation of something pressing down in the vagina.
• Discomfort during intercourse: Pain or difficulty with vaginal penetration due to the altered vaginal shape.
• Urinary symptoms: Stress incontinence or difficulty emptying the bladder due to pressure on the urethra.
• Bowel symptoms: Difficulty emptying the bowels or fecal incontinence in some cases.

Severity of Symptoms: The severity of symptoms can vary greatly from woman to woman. Some women may only experience mild pelvic pressure, while others may have significant discomfort during intercourse, urinary incontinence, or difficulty with bowel movements.

Sacrocolpopexy Procedure

During Sacrocolpopexy, our gynecologists use a minimally invasive laparoscopic or robotic-assisted approach to attach the upper portion of the vagina (vaginal cuff) to a strong supporting ligament near the sacrum (tailbone). This reinforces the vaginal vault’s position and restores its anatomical location.

Benefits of Sacrocolpopexy

Sacrocolpopexy offers several benefits for women with vaginal vault prolapse:

• Minimally Invasive: Compared to traditional open surgery, sacrocolpopexy utilizes smaller incisions, resulting in faster recovery times, less pain, and minimal scarring.
• Durable Repair: Sacrocolpopexy uses strong supporting ligaments for repair, offering a high success rate and a lower risk of recurrence compared to other surgical approaches.
• Improved Quality of Life: By restoring the vaginal vault’s position and alleviating associated symptoms, sacrocolpopexy can significantly improve a woman’s overall well-being and sexual function.
• Preserves Sexual Function: Sacrocolpopexy typically doesn’t affect the nerves or blood vessels essential for sexual function, minimizing potential sexual complications.

Recovery after Sacrocolpopexy

Recovery time following sacrocolpopexy is generally faster compared to traditional open surgery. Typically, it takes a few weeks to return to normal activities, with a longer period for complete healing. Our gynecologists provide detailed post-operative care instructions, including pain management strategies, activity restrictions, and pelvic floor muscle exercises to promote optimal healing.