Sacrospinous fixation

Sacrospinous fixation treats prolapse of the uterus (womb) or prolapse of the vaginal vault (top of vagina).

I have a question about sacrospinous fixation

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.

Our Consultant Gynaecologists

Mr Gupta

Abhishek Gupta

Consultant Gynaecologist

Mr Gupta's specialties include urinary incontinence, uterine and vaginal prolapse and heavy or painful periods.

Mr Connell

Rowan James Connell

Consultant Gynaecologist

Mr Connell's specialties include prolapse, incontinence, vaginal reconstruction surgery and MonaLisa Touch.

Miss Anahit Zakaryan

Anahit Zakaryan

Consultant Gynaecologist

Miss Zakaryan specialises in general gynaecology, including bleeding problems, vulval problems, contraception, HRT, fibroids and vaginal prolapse.

Contact us about sacrospinous fixation

It's easy to find out more about treatment by giving us a call or completing our enquiry form.