What is Colpopexy?

Colpopexy is a surgery used to move a female vagina that has moved from the correct physical position. Women can experience what is called vaginal prolapse, where the vaginal structure weakens and falls into itself; It can even protrude externally through the vaginal opening. This is a relatively common occurrence in women who had hysterectomy, although this can also happen as a result of menopause or childbirth. The procedure, also called vaginopexes or vaginofixation, includes the connection of the vagina to the surrounding tissue in the abdomen to hold it in place. There are two main types of collpopexes, abdominal sacral colpopexes and vaginal satospinous colpopexes.

vaginal satospinous colpopexes are performed transvaginally, which means that the entrance to the body is made through the vagina itself. This allows you to repair in a minimum invasive way. The vagina is sewn into a varicose ligament to hold it in place. Sometimes vaginal hysterectomiene can be at the same time to reduce the risk of recurring prolapse.

Abdominal sacral colpopexes is an invasive approach that includes the cutting of the abdominal wall. The vagina is moved to a suitable place and then a workbook to the place to support it. The net can be made of synthetic material or the patient's own fascia can be used depending on the surgeon's preference. Despite the fact that this is a more invasive procedure than approach with suspensions in sadospinte, research suggests that it can be more successful in preventing vaginal prolapse recurrence in the long term. In some cases, the procedure with the sacrificial procedure may be first tested, but if it is unsuccessful in keeping the vagina in place, then the abdominal sacral surgery is used.

As with any surgery, Colpopexes are associated with risks. The surgeon must be careful for many surrounding structures such as the urethra, bladder and rectum to ensure that they are correctly placed in a relationshipu to the vagina; The correct placement of the network in the abdominal sacral procedure is also essential to prevent damage to nearby tissue and organs. Infection in the place of surgical point of view is always a possibility. Vaginal attachment of sadospinous, which is not properly performed, can exert pressure on the area in the area and cause pain. There is also a risk that the network or stitches used to support vagina can erode over time and need to be repaired or replaced.