Sacrospinous fixation

This procedure is also known as vault repair. Your uterus (womb) is normally held in place by various muscles, tissue and ligaments.

Common questions

What is sacrospinous fixation?

This procedure is also known as prolapse of the uterus repair or vault repair. Your uterus (womb) is normally held in place by various muscles, tissue and ligaments. Through a cut in the back wall of the vagina, the tissues between the rectum and vagina are strengthened by placing a strong stitch around one of the ligaments that connects to the backbone, preventing the bowel from pushing forward. The stitch around the ligament helps to hold up the vagina. The stitch will dissolve over some months, but in that time, it will be replaced by your own scar tissue.

Why would I have sacrospinous fixation?

You may have suffered from a prolapse of the uterus. Prolapse of the uterus occurs when the muscles supporting the uterus become so weak that the uterus cannot stay in place, and so it slips down from its normal position

What happens during sacrospinous fixation?

As the operation is performed under a general anaesthetic, you will be in hospital for two nights.

Through a cut in the back wall of the vagina, the tissues between the rectum and vagina are strengthened by placing a strong stitch around one of the ligaments that connects to the backbone, preventing the bowel from pushing forward. The stitch around the ligament helps to hold up the vagina. The stitch will dissolve over some months, but in that time, it will be replaced by your own scar tissue.

What should I expect after sacrospinous fixation?

Any vaginal bleeding may persist for up to two weeks, sutures will dissolve in about twelve weeks.

You must eat a healthy diet to avoid constipation, and NOT lift anything heavier than a half filled kettle of water for at least six weeks.

We recommend that you don’t drive for four weeks and return to work after four to six weeks (depending on your job).

These precautions are necessary for allowing the repaired tissues to heal optimally and hence give the best result from the surgery.

Contact Benenden Hospital

It’s easy to make an appointment; you can ask your GP or give us a call on 01580 230661.