Sacrocolpopexy

Polypropylene mesh is attached from the anterior and posterior vaginal walls to the sacral promontory (S1) via an abdominal (open, laparoscopic, or robotic) approach to restore apical support along a near-anatomic axis. The CARE trial and long-term follow-up established sacrocolpopexy as the benchmark apical repair with ~78% objective success at 5 years. Robotic approach is now standard at most centers.

Indications

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Technique Overview

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Key Steps

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Outcomes & Evidence

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References

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