Pelvic Floor Repair

Dr Jenny Cook | Sydney Gynaecologist & Advanced Laparoscopic Surgeon

Specialised Surgery for Pelvic Floor Prolapse

My advanced laparoscopic surgical fellowship was completed in a tertiary referral unit for complex pelvic floor prolapse. I have extensive training and experience in a wide range of pelvic floor procedures.

Older vaginal mesh kits are no longer performed and have been withdrawn from the market. Instead, safe and effective laparoscopic and vaginal techniques are now used to restore support and improve quality of life.

Pelvic floor prolapse is common – and with the right surgery, it can be effectively treated.

Surgical Options

Safe, effective procedures to treat vaginal prolapse and restore support.

Laparoscopic Mesh Sacral Colposuspension

This procedure is considered the gold standard for vaginal apex prolapse.
Few gynaecologists perform this advanced laparoscopic technique.

How it works:

The bladder is reflected off the vagina
The vaginal apex is carefully defined
A Y-shaped sling is sutured to the front and back of the vaginal apex
The base of the sling is fixed to a strong bony landmark (sacral promontory)
The peritoneum (tissue layer) is closed over the mesh

Procedure details:

Takes about 1 hour
A pelvic drain is placed
Hospital stay: 1–2 days
Rest recommended: 2 weeks to allow healing
Follow-up: 10 days, to review pictures and monitor progress

Anterior Repair (Cystocele Repair)

Corrects prolapse of the bladder (cystocele)
Performed by invagination (folding in) of the front vaginal wall
Procedure time: about 30 minutes
Hospital stay: overnight
Follow-up: 2 weeks

Posterior Repair (Rectocele Repair)

Corrects prolapse of the rectum (rectocele)
Performed by invagination of the back vaginal wall
Procedure time: about 30 minutes
Hospital stay: overnight
Follow-up: 2 weeks

Case Studies

Surgery

Complete Procidentia (Prolapse)

Surgery

Complete Prolapse Of The Uterus

Surgery

Laparoscopic Mesh Sacral Colpopexy

Restore pelvic support and confidence with advanced surgery.

Pelvic floor prolapse can be distressing, but it can be effectively treated with the right procedure. With extensive training and experience in both laparoscopic and vaginal prolapse surgery, I will work with you to find the safest and most effective treatment.