TREATMENT OPTIONS
LAPAROSCOPIC SACROCOLPOPEXY FOR VAGINAL VAULT PROLAPSE
Sacrocolpopexy is a reconstructive pelvic surgery used to restore support to the top of the vagina when it has dropped or prolapsed, often after hysterectomy.
At Miklos & Moore, Drs. John Miklos and Robert Moore use advanced minimally invasive techniques to evaluate and repair vaginal vault prolapse while carefully considering each patient’s anatomy, previous surgeries, symptoms, and treatment goals.
Sacrocolpopexy is one of the most established surgical procedures for vaginal vault prolapse.
During the procedure, the top of the vagina is suspended toward the sacrum to restore pelvic support.
Women with vaginal vault prolapse may experience symptoms such as:
- A vaginal bulge
- Pelvic pressure or heaviness
- Tissue protruding from the vagina
- Difficulty emptying the bladder
- Bowel symptoms
- Discomfort with activity or intercourse
Drs. Miklos and Moore have extensive experience performing laparoscopic sacrocolpopexy and complex prolapse reconstruction in women with prior hysterectomy, recurrent prolapse, and previous pelvic surgery. Their published work includes research and technical papers on laparoscopic sacral colpopexy.
Minimally invasive sacrocolpopexy allows the surgeon to restore vaginal support through small abdominal incisions rather than a large open incision.
Depending on the patient, surgery may also be combined with treatment for other pelvic support defects, urinary incontinence, or related reconstructive problems.
Because every prolapse is different, the procedure should be tailored to the woman’s anatomy, previous operations, and personal preferences regarding treatment options.
Miklos & Moore’s surgical video library includes sacral colpopexy among the advanced prolapse procedures they routinely demonstrate.
Drs. John Miklos and Robert Moore are board-certified urogynecologists with extensive experience in advanced laparoscopic pelvic reconstructive surgery. Their work in sacrocolpopexy includes published surgical techniques, clinical outcomes, and research involving mesh-related complications. They have treated women with primary and recurrent vaginal vault prolapse, including complex cases following hysterectomy and previous prolapse surgery.
Miklos & Moore’s Book on
Vaginal Rejuvenation
Drs. Miklos & Moore
numerous surgical awards
Miklos & Moore’s Book Chapters
on Cosmetic Vaginal Surgery
DOES INSURANCE COVER SACROCOLPOPEXY?
Sacrocolpopexy is performed to treat pelvic organ prolapse and is generally considered reconstructive rather than cosmetic surgery. Insurance coverage depends on the patient’s diagnosis, symptoms, medical necessity, insurance plan, deductible, and authorization requirements. Miklos & Moore’s office can verify benefits and help patients understand coverage requirements before surgery.
“SUCCESSFUL PROLAPSE REPAIR DEPENDS ON ACCURATE DIAGNOSIS, SOUND RECONSTRUCTIVE PRINCIPLES, AND EXPERIENCE WITH COMPLEX PELVIC ANATOMY.”
HOW DO I CHOOSE A SURGEON FOR SACROCOLPOPEXY?
Why experience in urogynecology and minimally invasive pelvic reconstruction matters
Sacrocolpopexy is a reconstructive pelvic operation that requires detailed knowledge of the vagina, bladder, bowel, ureters, pelvic sidewalls, and sacral anatomy. This is especially important in women who have undergone previous hysterectomy or prolapse surgery, where scar tissue may alter normal anatomy.
When choosing a surgeon, patients should consider experience with:
- Laparoscopic sacrocolpopexy
- Vaginal vault prolapse
- Recurrent prolapse
- Prior hysterectomy
- Complex pelvic reconstruction
- Mesh-related complications
- Bladder, bowel, and ureteral anatomy
- Revision prolapse surgery
Drs. Miklos and Moore are board-certified urogynecologists whose practice focuses heavily on pelvic reconstructive surgery and advanced laparoscopy. Their published work includes laparoscopic sacral colpopexy techniques and clinical outcome studies.