Prolapse - Laparoscopic Mesh Sacral Colpopexy

Symptoms

A 60 year old woman presented with a complete procidentia.

Diagnosis

Complete prolapse of the uterus.

Procedure

She subsequently underwent Total Laparoscopic Hysterectomy and Laparoscopic Mesh Sacral Colposuspension.

Outcome

She made an excellent recovery and the prolapse was cured.

The uterus at the start of the procedure

A Total Laparoscopic Hysterectomy has been performed. This demonstrates the final part of detaching the uterus from the vagina (colpotomy)

The vault is closed carefully

The mesh has been sutured to the front and back walls of the vaginal vault. This picture demonstrates tacking the mesh into the sacral promontory

The peritoneum is closed over the top of the mesh. At the end of the procedure.