Sacrocolpopexy using mesh to repair vaginal vault prolapse

The condition

Vaginal vault prolapse is when the upper part of the vagina slips down from its usual position. It commonly happens after hysterectomy, when the womb and cervix are removed. It can affect quality of life by causing pressure and discomfort in the pelvis, and can also affect bladder and bowel function and sex.

If the prolapse is mild or moderate and is causing symptoms, treatment can include pelvic floor muscle strengthening and creams or patches containing the hormone oestrogen. Pessaries made of rubber or silicone can be used to support the vagina. If the prolapse is severe, surgery may be needed. There are different surgical procedures available, which aim to support the pelvic organs. Some include using mesh for additional support.

NICE has looked at using sacrocolpopexy using mesh to repair vaginal vault prolapse as another treatment option.

NHS Choices and NICE's information for the public about urinary incontinence in women may be a good place to find out more.