Dr Jasdev Singh
Sacrocolpopexy
The vagina or cervix is attached to the bone at the base of the spine using a strip of mesh, to support a significant or recurrent prolapse.
Pelvic Organ Prolapse
Lifting the vagina back into place when prolapse is significant
Sacrocolpopexy lifts the vaginal vault, or the cervix if the womb is kept, and fixes it to the sacrum, the bone at the base of the spine. A strip of synthetic mesh acts as a bridge. It is usually done by keyhole surgery.
It is often considered for vault prolapse, or when prolapse has returned after previous surgery.
Dr Jasdev explains the benefits and risks of mesh openly, and compares it with repairs that use your own tissue.
Symptoms understood first
Leaking, bulging or discomfort is assessed carefully, including how much it affects your daily life.
Simpler options considered too
Pelvic floor exercises, physiotherapy and other treatments without surgery are discussed alongside operations.
Recovery planned in advance
You will know what to expect after the procedure and when your review is due.
What sacrocolpopexy may offer
- Support anchored to a firm point in the pelvis
- A keyhole approach in most cases
- A careful discussion of mesh risks first
How your care is planned
Each stage is explained so you understand the cause of your symptoms, your options and what recovery involves. You can take time to decide.
Assess the prolapse and any bladder or bowel symptoms
Discuss mesh and own tissue options
Perform the surgery and support your recovery
How the surgery works
Under general anaesthetic, keyhole instruments are used to reach the space between the bladder, vagina and rectum. The mesh is stitched to the vagina and then fixed to a ligament on the sacrum. The operation usually takes two to three hours.
Who may benefit
Women with vault prolapse after hysterectomy, significant prolapse of the upper vagina, or prolapse that has returned after an earlier repair.
What to expect
Most women stay one to two nights. Recovery takes around six weeks, avoiding heavy lifting. You will have a review visit to check healing and your symptoms.
How Dr Jasdev works with you
He brings gynaecological surgical experience and a calm, private approach to symptoms that many women find hard to talk about. Plans follow current evidence and your own priorities. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia.
What to bring to your appointment
These details help Dr Jasdev understand your symptoms and plan the right tests or treatment. If you cannot find everything, bring what you have.
- Details of previous prolapse or pelvic surgery
- A list of bladder, bowel and sexual symptoms
- A list of your medicines
What women often ask
Bladder and pelvic floor problems are common, yet many women wait years before asking about them. These questions can help you start.
Why is mesh used?
What are the risks of mesh?
How does this compare with vaginal surgery?
How long is recovery?
Your questions about sacrocolpopexy
What is sacrocolpopexy?
It is surgery to lift the upper vagina or cervix and attach it to the sacrum using a strip of mesh.
Who is it suitable for?
Women with vault prolapse, significant upper vaginal prolapse, or prolapse that has returned after earlier surgery.
What tests are needed first?
A pelvic examination, and sometimes bladder tests or imaging.
Is it painful or risky?
Soreness is expected. Risks include bleeding, infection, injury to the bowel or bladder, mesh exposure or pain, and bowel changes. These are discussed fully.
Why see Dr Jasdev for this?
He gives an honest account of mesh surgery and its alternatives, so your decision is fully informed.
How do I book?
Call or WhatsApp the clinic, and bring details of any previous prolapse surgery.
This page is general information and does not replace a consultation. Whether a procedure suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Understand your prolapse surgery options
Book a consultation to discuss sacrocolpopexy.