Hysterectomy, uterine and vaginal prolapse, mesh and sacrocolpopexy - what does it all mean?!
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- Опубликовано: 17 авг 2024
- Sacrocolpopexy: that’s a million dollar word for sure! Chances are, you don't know what that is or what it means unless your doctor said you need one (or you’re reeeeeeally into niche medical terms).
But don’t worry! Dr. Erinn Myers, my good friend and fellow urogynecologist, and I are here to answer your questions and more, giving you everything you need to know as a patient looking at a sacrocolpopexy procedure. Here’s what you’ll learn in my new video:
In this video, you'll learn:
- What a sacrocolpopexy procedure is and when you might need one.
- What you can expect as a patient undergoing this procedure.
- Why sacrocolpopexy and hysterotomy procedures go hand-in-hand.
- What's behind uterine prolapse, vaginal prolapse, and pelvic organ prolapse.
- The facts about mesh: what kinds are harmful and what kinds are helpful.
- The difference between vaginal mesh and sacrocolpopexy mesh.
- What the recovery process looks (and feels) like!
QUESTION: Who's really heard of sacrocolpopexy - for real?
#doctorrich #sacrocolpopexy #askyourob
** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional **
Thank you for this helpful information. I’ll be undergoing this procedure next month and am trying to educate myself a bit. Reassuring to hear that this mesh is safe.
Thank you for explaining. My surgeon told me I would not need any of these procedures, and because she removed both ovaries, well now I have to consider this prolapse surgery. She was also very dismissive when I asked about menopause and he effects and basically was very verbally abusive. I did consult with other doctors who told me there was nothing they could do and to stay that way it was just a part of getting older. Quite frankly it made me feel like I was 80 years old. I had to educate myself and find a Urogenital Specialist to explain things to me. I cannot tell you how this has emotionally affected me, I was crying just listening to your video. I hope to have the surgery within the next 2 years, in the meantime I am doing pelvic floor therapy and using conjugated estrogen.
So very helpful. Thank you. Would appreciate hearing more about a SCP surgery together with a hysterectomy.
Thank you for this video! I had a hysterectomy in 2006 and have just started this conversation with my urogyno this week. I have a constant feeling of a ball I am sitting on. Thank you again
I feel I’m falling apart I’m not even 50….. but this is fixable
@@pattibell5691 prolapse is very common. Thirty percent of women will be affected and 18% of women will have surgery. But people are embarrassed to speak about it. Women can end of feeling alone and afraid. The goal of our channel is to empower women to find the answers and resources they are searching for.
Your videos are ALWAYS very informative. Keep them coming! Thank you!
Thank you! We are committed to education. Your comment validates our mission. Please share.
I developed a complete organ prolapse in 2014. I was 40 years old. I had my cystocele and rectocele repaired in 2019. Now....my uterine prolapse is worse. I can see and feel the bulge often have to push it back in. So tired of this. I am suppose to have a SCP but I am scared. If my sacrum is suspending the vaginal floor and cervix, am I going to develop tailbone issues. Worried about the hysterectomy and long term side effects. Not to mention, my ligaments clearly tend to weakened so what prevents me from developing a entrocele?
My Urogynocologist is telling me I need to have a hysterectomy (my uterus is healthy and I am post-menopausal (3 years)) and have my previous mesh sling (11 years ago) removed before she will perform a sacrocolpopexy for pelvic prolapse and she will also resling my bladder. Your topic headline said Hysterectomy so I had hoped you would talk about why a hysterectomy would be needed to perform a sacrocolpopexy. She did give me some of the other suspension choices (no hysterectomy); which you listed in your 2nd video but didn't reallty talk about, but said that there was a 35% chance that I would have to have it done again and it could also affect the bladder sling as well. It would be great if you could do a follow-up video talking about those.
I'm searching for information about procedures used for bladder and bowel prolapses in older women who have had a hysterectomy many years before. Despite your headline you didn't even mention or show graphs for post hysterectomy prolapse.
I have just been recently diagnosed with a grade 3 vaginal prolaspe. I have been told i need mesh surgery will this sort my lower back pain out as well as atm im in complete agony and it wont go away.. please help.. Thanks
Is anyone having this surgery? I'm supposed to have it and I already have low back pain si joint disfunction, will this make it worse??
Tara: Low back pain is an uncommon complication of this surgery. You will need to discuss this concern with your doctor. However you may be a candidate for alternative repairs including uterosacral vault suspension or sacrospinous ligament fixation.
I’m wondering what the success rate is & is there a need to do this surgery again over time ?
Franca: Thanks for being subscriber! Sacrocolpopexy is considered the 'gold standard' for apical prolapse repair and consistent has the highest success compared to all other repairs. The 5 year Success rates range from 88-99%. The average is around 93%. Even with this highly successful repair prolapse recurrence can happen, and the procedure can usually be successfully revised. The most experienced surgeons tend to have the highest success rates.
@@DoctorRich thank you for you’re response .
So basically will the surgery pull on or hurt the si joint area?
Tara: Thanks for being a subscriber. The sacrocolpopexy mesh is attached to the anterior longitudinal ligament. It is not related to the SI joint.
Is it possible for the procedure to be done with out the mesh where it anchor to the vaginal wall with dissolving stitches
Where over time it would fuse it self to the vaginal walls again
?
How long of a surgery is a sacrocolpopexy ? Can Gore-Tex Mesh be used for that surgery?
All of the currently device manufacturers for the treatment of female prolapse produce polypropylene slings. However a surgeon could fashion a sling out of Gortex (polytetrafluoroethylene (ePTFE). A top expert can perform a robotic sacrocolpopexy in 70-120 minutes. Average procedure time is 120-180 minutes
I am 85 years old diagnosed with bladder prolapce. Generally I am in good physical shape. What procedure do you may recommend doctor for women of my age? Thanks so much.
Cededu
Statistically patient over 85 are much more like to have a colpocleisis surgery (has a faster and safer option) as opposed to a sacrocolpopexy. please watch our video detailing this surgery:
ruclips.net/video/uHiS2umNY6k/видео.html
You never mentioned hysterectomy which was listed first, that's why I watched this video
Is sex tighten after this surgery
vegan woman: great question. The sacrocolopopexy elevates or 'lifts up' a prolapsed vagina. It does not specifically 'tighten' the vagina. However sacrocolpopexy is often performed in conjunction with other vaginal pelvic reconstructive repairs that might narrow the vaginal opening. You would need to discuss with your urogynecologist your goals for the repair to ensure you have a successful outcome.
Thank you for your comment! We made a video in response to your great question, here is the link: ruclips.net/video/ApXloNYAidA/видео.html
Is it easier to remove right away after surgery? I had this done a week ago and I’m feeling pulling and scratchy feeling high up in my vagina. If I ask to get this mesh removed will my doctor do it? I’m scared. Thanks