How long does a Sacrospinous fixation last?

This can be very painful but usually fully subsides by 6 weeks. Damage to the surrounding organs (bladder, rectum or ureter) occurs rarely and is usually repaired in surgery.

What is a sacrospinous ligament fixation?

A sacrospinous fixation is an operation designed to restore support to the uterus or vaginal vault (in a woman who has had a hysterectomy). Through a cut in the vagina, stitches are placed into a strong ligament (sacrospinous ligament) in the pelvis and then to the cervix or vaginal vault.

How is sacrospinous ligament fixation performed?

How is the surgery performed? At Northwestern Medicine, your urogynecologist will perform the sacrospinous ligament suspension through an incision in the vagina. Either permanent and/or slowly dissolving stitches are placed into the sacrospinous ligament and then through the top of the vagina.

How long is recovery from Cystocele repair?

You can most likely return to your normal activities in about 6 weeks. Avoid strenuous activity, such as heavy lifting or long periods of standing, for the first 3 months, and increase your activity level gradually. Straining or lifting after you have resumed normal activities may cause the problem to recur.

How do you fix a Cystocele?

How is a cystocele treated?

1. Weight loss.
2. Estrogen replacement therapy.
3. Kegel exercises to strengthen the openings of the urethra, vagina and rectum.
4. If symptoms are modest, a device called a pessary may be placed in the vagina to hold the bladder in place.

What is the success rate of prolapse surgery?

Does Surgery Really Work? The success rate for sacrospinous ligament fixation and uterosacral ligament suspension is 80% to 90%. Sacrocolpopexy and sacrohysteropexy have about the same success rate. Studies show vaginal mesh surgery works about 80% to 95% of the time.

What happens if you leave a prolapse untreated?

If prolapse is left untreated, over time it may stay the same or slowly get worse. In rare cases, severe prolapse can cause obstruction of the kidneys or urinary retention (inability to pass urine). This may lead to kidney damage or infection.

How long does it take to recover from a Sacrocolpopexy?

Recovery from surgery usually takes two to four weeks, but sometimes longer if more strenuous activity is planned. It is normal to be very tired during this time. A patient may shower 48 hours after the surgery, but she should NOT swim or soak in water for 6 weeks after surgery.

How do you fix a Cystocele without surgery?

Can you push a prolapsed bladder back into place?

If you or your child has a rectal prolapse, you may be able to push the prolapse back into place as soon as it occurs.

Is the sacrospinous ligament fixation unilateral or bilateral?

Anterior approach bilateral sacrospinous ligament fixation for vaginal vault prolapse The sacrospinous ligament fixation (SSLF) was first described as a unilateral fixation; however, bilateral fixation, when possible, allows a symmetrical vaginal reconstruction and provides additional vaginal vault support.

How is a sacrospinous fixation ( SSF ) performed?

The procedure can be performed under general (you are asleep) or spinal (you are awake but the area is numbed) anaesthetic. A small cut is made within the vagina. Behind the vaginal skin is a strong ligament called the sacrospinous ligament. Stitches are placed into this ligament to support the top of the vagina.

Can a sacrospinous fixation be performed on an upper vaginal prolapse?

SSF is highly effective at controlling upper vaginal prolapse with only 5-10 out of every 100 of these operations failing. It also means the womb does not have to be removed. SSF can also be performed in women who have had a hysterectomy. One of the benefits of this surgery compared to other prolapse surgery is that it does not

What to do after sacrospinous ligament suspension surgery?

• Compression stockings will be placed on your legs to prevent blood clots in your legs during surgery. You will get a shot , with a small needle placed under your skin, of a blood-thinning medication called heparin. • At the end of surgery, some gauze may be put in your vagina, somewhat like a large tampon.