Pelvic Prolapse

Dr Jenny Cook  |  Gynaecologist & Advanced Laparoscopic Surgeon

Uterine Prolapse - Rectocele

Symptoms

A 68 year old woman presented with uterine prolapse and a rectocele.

Diagnosis

Uterine prolapse and rectocele.

Procedure

She underwent a Subtotal Laparoscopic Hysterectomy (the cervix was conserved). The vaginal apex is then supported – a Laparoscopic Mesh Sacral Colpopexy. The two arms of the mesh are sutured to the anterior and posterior cervix. The mesh is then tacked to the sacral promontory. A Vaginal Posterior Repair is performed.

Outcome

The patient made an excellent recovery. Follow up confirmed the vagina was well supported.

The laparoscopic view of the pelvis at the start – uterus, ovaries and tubes (incidentally, there is a clip on the right Fallopian Tube for sterilisation)
The laparoscopic view of the pelvis at the start – uterus, ovaries and tubes (incidentally, there is a clip on the right Fallopian Tube for sterilisation)
A Laparoscopic Hysterectomy has been performed. The mesh is now sutured laparoscopically to the cervical stump
A Laparoscopic Hysterectomy has been performed. The mesh is now sutured laparoscopically to the cervical stump
The mesh is tacked into the Sacral Promontory
The mesh is tacked into the Sacral Promontory
The peritoneum is closed over the mesh
The peritoneum is closed over the mesh
The pelvis at the end of the procedure
The pelvis at the end of the procedure
Scroll to Top