Sacrospinous Suspension

Sacrospinous suspension is a minimally invasive treatment for vaginal prolapse, that surgically lifts up the top of the vagina and holds it in place. The sacrospinous ligament is a thin ligament attached to the spine and it is used in this procedure to support the vagina and prevent prolapse. Vaginal prolapse affects many women, and often occurs after a hysterectomy. This condition may lead to difficulties with bladder function and sexual activity, significantly affecting a patient's quality of life. Fortunately, prolapse can be easily corrected through the sacrospinous suspension procedure, which restores any affected organs back to their normal position and effectively relieves the symptoms of pelvic prolapse.

Sacrospinous Suspension Procedure

During the sacrospinous suspension procedure, the sacrospinous ligament is first identified before sutures are precisely placed to hold the vaginal vault in place and restore support of the vaginal wall. A graft may also be used to further support the suspension and ensure that it remains in place. The vagina is then pulled into its normal position.

Risks of Sacrospinous Suspension

This procedure is considered safe and moderately effective for most patients. As with any surgical procedure, there may be risks of:

  • Infection
  • Anesthesia complications
  • Damage to the vaginal wall, bladder or ureters

Recovery from a Sacrospinous Suspension

After a sacrospinous suspension, patients may be given medication for pain and in some cases stool softeners, to avoid constipation and the associated bowel straining. Heavy lifting is not advised for at least four weeks. Most patients fully recover form a sacrospinous suspension within six weeks.

Additional Resources