Sacrocolpopexy is a surgical option for which condition?

Sacrocolpopexy is a surgical option for which condition?

• A. Severe pelvic organ prolapse.
• B. Urinary tract infection.
• C. Pelvic inflammatory disease.
• D. Endometriosis.

Answer: (A)

Sacrocolpopexy is designed to restore support to the apex of the vagina in cases of severe pelvic organ prolapse. The procedure attaches the vaginal cuff or uterus to the sacrum with mesh, providing durable apical support and lifting the prolapsed organs back into their normal position. It’s typically chosen when there is significant vault or uterine support loss, such as after hysterectomy or in severe uterovaginal prolapse. This treatment targets structural pelvic floor failure, not infection or inflammatory conditions. Urinary tract infection, pelvic inflammatory disease, and endometriosis are not addressed by suspending the vaginal apex to the sacrum and are managed with medical therapy or different surgical approaches for those underlying diseases. Thus, the option describing severe pelvic organ prolapse is the correct indication.

Sacrocolpopexy is designed to restore support to the apex of the vagina in cases of severe pelvic organ prolapse. The procedure attaches the vaginal cuff or uterus to the sacrum with mesh, providing durable apical support and lifting the prolapsed organs back into their normal position. It’s typically chosen when there is significant vault or uterine support loss, such as after hysterectomy or in severe uterovaginal prolapse.

This treatment targets structural pelvic floor failure, not infection or inflammatory conditions. Urinary tract infection, pelvic inflammatory disease, and endometriosis are not addressed by suspending the vaginal apex to the sacrum and are managed with medical therapy or different surgical approaches for those underlying diseases. Thus, the option describing severe pelvic organ prolapse is the correct indication.