Prolapse

Symptoms

A 65 year old woman presented with a long history of vaginal prolapse.

Diagnosis

On examination she had uterine descent and a cystocele.

Outcome

She made an excellent recovery.

Procedure

She underwent Laparoscopic Mesh Sacral Hysteropexy (to elevate the uterus) and anterior vaginal mesh (to treat the cystocele). The operation is 2 hours in duration.

Follow up confirmed the vagina was well supported.

The mesh is sutured to the posterior cervix

The mesh is tacked to the Sacral Promontory

The peritoneum is closed over the mesh

At the end of the operation