Dr Vidushi Mehta

Pectopexy/sling surgery


Pectopexy, also known as high uterosacral ligament suspension, is a surgical procedure used to treat pelvic organ prolapse (POP), a condition in which the pelvic organs, such as the uterus, bladder, or rectum, descend into or protrude out of the vaginal canal due to weakened pelvic floor muscles and ligaments. Pectopexy involves restoring the natural support of the pelvic organs by attaching them to the strong, supportive tissue in the pelvis. At our clinic in Indore, we offer pectopexy as an effective treatment option for women seeking relief from the symptoms of pelvic organ prolapse.

How Pectopexy Works

During the pectopexy procedure, the surgeon makes a small incision in the abdomen and inserts a thin, flexible tube called a laparoscope. The laparoscope is equipped with a camera that provides a magnified view of the pelvic organs on a monitor, allowing the surgeon to visualize the surgical area with precision.

Using specialized surgical instruments, the surgeon lifts and repositions the prolapsed pelvic organs, such as the uterus, bladder, or rectum, to their proper anatomical position. The surgeon then attaches the pelvic organs to the strong, supportive tissue in the pelvis, such as the uterosacral ligaments or the sacrospinous ligaments, using permanent sutures or mesh implants.

By restoring the natural support of the pelvic organs, pectopexy helps alleviate symptoms of pelvic organ prolapse and improve pelvic floor function, allowing women to regain comfort, confidence, and quality of life.

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Benefits of Pectopexy

Pectopexy offers several benefits for women with pelvic organ prolapse, including:

1. Effective Symptom Relief: Pectopexy provides long-lasting relief from the symptoms of pelvic organ prolapse, including pelvic pressure, discomfort, urinary incontinence, and difficulty emptying the bladder or bowel.

2. Preservation of Sexual Function: Unlike traditional hysterectomy, which involves the removal of the uterus, pectopexy preserves the uterus and maintains sexual function, allowing women to continue enjoying intimacy and sexual activity.

3. Minimally Invasive: Pectopexy is typically performed using minimally invasive techniques, such as laparoscopy or robotic-assisted surgery, which involve smaller incisions, reduced blood loss, shorter hospital stays, and faster recovery times compared to traditional open surgery.

4. Lower Risk of Complications: The minimally invasive nature of pectopexy is associated with a lower risk of complications such as infection, bleeding, and postoperative pain compared to traditional open surgery, leading to improved patient outcomes and satisfaction.

Our Approach

At our clinic, we understand the impact that pelvic organ prolapse can have on a woman’s physical, emotional, and social well-being. Our team of experienced gynecologists and surgeons is dedicated to providing compassionate care and personalized treatment options to help women achieve optimal pelvic floor health and improve their quality of life. We will work closely with you to determine if pectopexy is the right choice for your individual needs and goals, and we will guide you through every step of the treatment process with care and expertise.

Frequently asked questions

Pectopexy may be recommended for women with pelvic organ prolapse who have failed conservative treatments such as pelvic floor physical therapy or pessary use, or who wish to avoid hysterectomy and preserve their uterus. Your surgeon will evaluate your medical history, symptoms, and pelvic anatomy to determine if pectopexy is appropriate for you.

The duration of the pectopexy procedure varies depending on factors such as the extent of pelvic organ prolapse and the surgical approach used. In general, pectopexy can take anywhere from 1 to 3 hours to complete.

Recovery after pectopexy varies from patient to patient, but most women can expect to resume their normal activities within a few weeks following the procedure. Your surgeon will provide specific instructions for postoperative care, including activity restrictions, pain management, and follow-up appointments.

Like any surgical procedure, pectopexy carries some risks, including infection, bleeding, injury to surrounding structures, and recurrence of pelvic organ prolapse. However, these risks are relatively low, and your surgeon will take steps to minimize them during the procedure.