Pelvic organ prolapse is one of the most common conditions affecting women, and one of the most undertreated. The sensation of heaviness or bulging in the pelvic area, the feeling that something is coming down, and the discomfort that worsens through the day and improves when lying down are symptoms that many women manage silently for years. Some assume nothing can be done. Others are unaware that a highly effective surgical solution exists.

Sacrocolpopexy Electronic City Bengaluru is the surgical procedure for pelvic organ prolapse, particularly vault prolapse following hysterectomy. At KIMS Cuddles at KIMS Hospitals, Electronic City, sacrocolpopexy is done by an expert team, either laparoscopically or robotically, offering women across South Bengaluru access to this definitive procedure close to home.

What Sacrocolpopexy Is

Sacrocolpopexy is a surgical procedure which restores the normal position of the vaginal vault. In this procedure, a mesh is attached to the vaginal walls to support the pelvic organs and fix it to the sacral promontory, the bony prominence at the top of the sacrum in the lower back, through prolapse repair Electronic City. This mesh is permanent to support the structure. It suspends the vaginal vault in its correct anatomical position and prevents the prolapse from recurring. 

This procedure is meant to prevent vault prolapse after hysterectomy. Uterine prolapse, where the uterus is to be preserved in selected cases, and anterior and posterior vaginal wall prolapse occurring alongside vault descent.

When Sacrocolpopexy Is Recommended

Sacrocolpopexy is recommended for women with significant pelvic organ prolapse that is causing symptoms affecting daily life and that has not been adequately managed through conservative measures such as pelvic floor physiotherapy or pessary use.

It is particularly indicated for:

• Vault prolapse following hysterectomy, where the top of the vagina descends due to loss of uterine support
• Significant anterior compartment prolapse involving the bladder
• Significant posterior compartment prolapse involving the rectum
• Women who have had a previous vaginal prolapse repair that has recurred
• Women with complex multi-compartment prolapse requiring reconstruction of the entire pelvic floor

The decision to proceed with sacrocolpopexy is made after a thorough assessment of symptoms, degree of prolapse on examination, relevant investigations, and discussion of the available options.

Laparoscopic and Robotic Sacrocolpopexy

At KIMS Cuddles at KIMS Hospitals, Electronic City, sacrocolpopexy is performed through minimally invasive approaches. Laparoscopic and robotic-assisted sacrocolpopexy are available, but the choice depends on the complexity of the case and decisions made by the surgical team, considering the conditions of an individual patient. 

Robotic sacrocolpopexy is advantageous for this procedure because of the pelvic anatomy. The three-dimensional view and the range of movement of the robotic instruments allow precise dissection and suturing in a confined space around the vagina, bladder, and sacral vessels, reducing the risk of injury to critical structures.

Through minimally invasive sacrocolpopexy, most women are discharged within two to three days and return to normal light activities within two to four weeks, significantly faster than recovery after open abdominal sacrocolpopexy.

What the Surgery Involves

The procedure is performed under general anaesthesia. Small incisions in the abdomen allow the introduction of the camera and instruments. The surgeon carefully dissects the spaces between the vagina and bladder anteriorly, and the vagina and rectum posteriorly, to create the planes needed for mesh attachment. The mesh is attached to the anterior and posterior vaginal walls and then sutured to the sacral promontory with permanent sutures. The mesh is then covered with peritoneum to avoid adhesion formation.

The whole procedure takes two to three hours, depending on the complexity of the prolapse and whether additional procedures such as pelvic floor repair or anti-incontinence surgery are performed at the same time. 

Combining Sacrocolpopexy With Other Procedures

In many women with significant prolapse, stress urinary incontinence is present alongside or is unmasked after the prolapse is repaired. A mid-urethral sling procedure can be performed at the same time as sacrocolpopexy to address both conditions in a single operation, avoiding the need for a separate procedure.

Pelvic floor repair of the anterior or posterior vaginal walls can also be combined with sacrocolpopexy, where multi-compartment prolapse is present.

Outcomes and Durability

Sacrocolpopexy has the strongest long-term evidence base of any prolapse repair procedure. Objective cure rates for vault prolapse are high, and the durability of the repair over ten years and beyond is consistently better than vaginal repair approaches for this indication.

Outcomes described by patients include improved quality of life, resolution of prolapse symptoms, and satisfaction with the result. The results are positive in well-selected candidates who are appropriately counselled before surgery.

Why Choose KIMS Cuddles at KIMS Hospitals, Electronic City

Sacrocolpopexy requires a gynaecological surgeon with specific training and a substantial volume of experience in the procedure. The anatomy involved is demanding, and the consequences of poor technique include mesh complications and recurrent prolapse. Our surgical team at KIMS Cuddles at KIMS Hospitals, Electronic City, has the experience and the robotic and laparoscopic platform needed to perform this procedure to a consistently high standard.

For women across Electronic City, Neeladri Nagar, Anekal, and Hosur Road, having this level of surgical expertise in South Bengaluru means that a definitive solution to prolapse is accessible without the need to travel to specialised centres elsewhere in the city.

Book a Consultation

If you have pelvic organ prolapse that is affecting your quality of life, or have been referred for surgical assessment, our team at KIMS Cuddles at KIMS Hospitals, Electronic City, is here to help. Book a consultation online or by phone.