Laparoscopic sacrohysteropexy

What is a Laparoscopic Sacrohysteropexy?

A laparoscopic sacrohysteropexy is a procedure to correct uterine prolapse. It is commonly done for patients who do not wish to have a hysterectomy. The procedure is intended to support the womb by suspending it from the top of the lower backbone using a strip of synthetic mesh. The purpose is to improve associated urinary, bowel and/or sexual problems.

What are the symptoms of uterine prolapse?

These can include:

  • A dragging feeling or sensing fullness or a lump in the vagina
  • Backache
  • Frequency and/or urgency to pass urine and a feeling of not completely emptying your bladder
  • Constipation or straining to open the bowels and a feeling of not emptying properly
  • Painful intercourse

What is involved in the procedure?

The procedure can be carried out using keyhole surgery under general anaesthetic. A fibre optic telescope is inserted through a small ‘belly button’ incision to see inside the pelvis and two other small incisions are made in your abdomen, allowing access for the operating instruments. One end of a non-absorbent mesh is attached to the back of the womb whilst the other end is attached to the sacrum.

What are the benefits of a laparoscopic sacrohysteropexy?

The laparoscopic sacrohysteropexy has a cosmetic aspect as keyhole surgery avoids a large abdominal incision, and usually only leaves three small incisions. It also has the added benefit of less post-operative pain and a lower requirement for pain medication, in general. There is often a decrease in hospital stay and a quicker recovery to get over the initial surgery. Normal sexual function is maintained as the vagina is not shortened.

Are there any risks involved?

As with all procedures there are associated risks, but this procedure has minimal common risks. These include; post-operative pain (particularly shoulder or back pain), pain is usually mild, responds to painkillers and disappears within a couple of days. The other common symptom is initial difficulty passing urine and constipation.  This can be managed by using mild natural laxatives until symptoms of constipation resolve, usually by 4 weeks. Occasionally there are wound problems such as bleeding or infection.

Uncommon risks:

  • Urinary tract infection, treatable with antibiotics
  • Blood clots in leg or lung, although this is minimised through the use of a blood thinner often given before the operation, and for a few days after
  • Anaesthetic problems
  • Inflammation of the sacral bone
  • Inability to complete the operation through the key-hole approach
  • The synthetic material used to lift the womb may erode or get infected
  • Slight risk of fistula if the bowel is injured in the procedure and is not repaired at the time
  • Pelvic abscess or infection
  • Late onset difficulty passing urine
  • Hernia at the operative site
  • There is small chance that urinary, bowel and/or sexual problems may persist, although these should improve to some degree
  • Unmasking of stress incontinence of urine
  • The operation may fail or prolapse may recur with time

All complications/risks will be discussed in full by the treating consultant prior to the procedure.

Pricing

Keyhole surgery to uterus

Patient pathway Initial consultation Diagnostic investigations Main treatment Post discharge care Total
Hospital fees N/A Included £3,562 Included £3,562
Consultants fees £200 N/A Included Included £200
Total £3,762
Initial consultation
Hospital fees N/A
Consultants fees £200
Diagnostic investigations
Hospital fees Included
Consultants fees N/A
Main treatment
Hospital fees £3,562
Consultants fees Included
Post discharge care
Hospital fees Included
Consultants fees Included
Total £3,762

Terms & Conditions

Treatment prices displayed are a guide for initial consultation, and a guide price for our fixed price packages which include pre-assessment, procedure and aftercare. Your Consultant will be able to discuss costs in greater detail at your consultation, after which a quote of your fixed price package will be provided [which is subject to results of any pre-assessment tests]. Prices can be subject to change.

For more information please refer to our terms and conditions (large print version).

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