no to hysterectomy for prolapse

Do I need a hysterectomy after a prolapse?

Uterine prolapse occurs when the tissue around the pelvic organs becomes weak and the uterus and vagina are pushed down. Childbirth commonly causes this and around 50% of cases occur this way. Weakening ligaments as someone ages, or factors which cause stress, such as constipation or coughing, can also trigger a prolapse.

To understand it, simply imagine the pelvic organs are housed in a large bag. If there was a hole in the bottom of the bag, then things could slip out and fall down. The strength of the bag – or the muscles in the pelvic floor – are the deciding factor in avoiding a prolapse.

Once a prolapse occurs the traditional method of treatment would be to go straight to a hysterectomy. However, a prolapsed uterus after childbirth or other conditions requiring prolapse surgery can be effectively managed with a sacrohysteropexy performed by an expert.

What is a sacrohysteropexy?

This is a laproscopic (or keyhole) operation which is not well known among the general public. As a result, women who may still have fertile years ahead of them choose to have their reproductive organs removed. This need not be the case and women can go on to have further, or initial pregnancies.

During a sacrohysteropexy procedure, small cuts are made in the stomach and around the bikini line before a telescope and instruments are inserted to look around the pelvis. Once they are properly positioned, a mesh is inserted and fixed to the cervix and backbone with metal staples to support the pelvic organs. This is a much cleaner way to insert mesh rather than through the vagina.

Because there are no more than four small cuts used to insert the mesh, recovery time is fast. Patients would usually need to stay for just one night in hospital.

This is a highly specialised procedure and can only be completed by highly skilled surgeons. Mr Jonathan Broome, Consultant Gynaecologist at The Pelvic Clinic, is one of the leading surgeons in the sacrohysteropexy procedure in Britain. He has performed over 1,000 of these operations and has a 100% success rate. Contact us today for more information on how you can avoid a hysterectomy following prolapse.