A 65 year old woman presented with a long history of vaginal prolapse.
On examination she had uterine descent and a cystocele.
She made an excellent recovery.
She underwent Laparoscopic Mesh Sacral Hysteropexy (to elevate the uterus) and anterior vaginal mesh (to treat the cystocele). The operation is 2 hours in duration.
Follow up confirmed the vagina was well supported.
The mesh is sutured to the posterior cervix
The mesh is tacked to the Sacral Promontory
The peritoneum is closed over the mesh
At the end of the operation