alternative decisions

There is another choice

For women who have been diagnosed with prolapse, any relief of the serious symptoms, which include stress incontinence, constipation, unexpected uterus pain and pelvic pressure, is welcome. Initial treatment for prolapse usually involves pelvic floor exercises or pessary replacement of the displaced uterus. However, if this fails, most women are offered a hysterectomy as a form of prolapse surgery.

Although a hysterectomy may seem worthwhile in order to relieve the associated symptoms of a prolapse, it is important to remember that this is a major operation that requires significant recovery time. As well as this, for fertile women who still want children, a hysterectomy would be a distressing choice.

Other procedures and options are not often discussed and so many women who suffer from prolapse are not aware of the alternative treatment of sacrohysteropexy. This is a form of prolapse repair that is performed as keyhole surgery with only two points of entry, near the belly button and on the bikini line, so is significantly less invasive than a hysterectomy. The process uses flexible mesh as a form of sling to correctly re-position the uterus and hold it securely in place. One end of the mesh is attached to the cervix, while the other end is attached to the sacrum. The repair is permanent, no further surgery is required and recovery time is much shorter than with a hysterectomy.

Mr Jonathan Broome, Consultant Gynecologist at The Pelvic Clinic, was one of the pioneers of sacrohysteropexy and is still one of the leading surgeons performing the procedure in the UK. He has performed well over 1,000 procedures at the Pelvic Clinic, with a 100% success rate.

As well as removing the need for major surgery, sacrohysteropexy means pregnancy is still possible after prolapse. So far, four of Mr Broome’s patients have successfully had a pregnancy after sacrohysteropexy.

If you’ve been diagnosed with prolapse, non-invasive treatments haven’t solved the problem and you want to avoid a hysterectomy, draw the attention of Jonathan Broome’s work in the field of sacrohysteropexy to your GP and request a referral. There is an alternative to hysterectomy.


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