Pelvic prolapse repair surgery (Laparoscopic mesh implantation with lateral fixation, LLS)

The uterus is normally held in the female pelvis by muscles, tissues, and ligaments. Sometimes, due to childbirth or heavy labour, or due to a decrease in oestrogen levels with age, in susceptible individuals, these muscles and tissues weaken, causing the uterus to sink into the vaginal canal, which is called uterine prolapse.

The uterus can sink in several stages, which in severe cases can lead to its prolapse and sliding out of the vagina. Uterine prolapse often occurs together with other conditions related to the weakening of the perineal muscle and pelvic floor, such as urinary incontinence, vaginal prolapse, bladder prolapse, and rectal hernia. Lower abdominal pain, pulling sensation, urinary incontinence, blockage, and bowel movements may develop.

Reconstructive surgery is usually necessary when medication or other lifestyle changes, weight loss, or other non-surgical treatments do not help, or when non-surgical treatment is most certainly not helpful due to the severity of the prolapse.

Several types of surgical procedures are known but currently, according to our knowledge, the most effective treatment procedure is some form of mesh implantation. Sometimes, hysterectomy may also be necessary.

LLS – laparoscopic mesh implantation with lateral fixation – is a type of intervention that can be used to completely or partially eliminate prolapse.

• middle and/or apical prolapse
• middle compartment, cystocele
• uterine prolapse
• vaginal prolapse/prolapse after hysterectomy

Its advantage is that the suspension is more natural compared to sacrocolpopexy. Due to the specifics of the surgical technique, the risk of intestinal and vascular injury (early and late) is significantly lower compared to sacrocolpopexy (promonto-fixation, pectopexy).

There is a 93.6% success rate in the anterior and apical parts.

The rate of painful intercourse after surgery is minimal, and the surgery has a positive effect on constipation.

During reconstruction, a mesh is implanted, using a laparoscope (laparoscopy).

Without hysterectomy, in the case of anterior vaginal wall prolapse, an anterior mesh is sewn onto the vaginal wall after it has been separated from the bladder, and then the two legs of the mesh are brought out in front of the round ligaments under the peritoneum in a lateral direction under the parietal peritoneum into the abdominal wall all the way under the skin.

In case of hysterectomy, the mesh is also attached to the remaining cervix and the anterior-posterior wall of the vagina, after creating the appropriate space between the vagina-bladder and the vagina-rectum.

After the mesh is implanted, the peritoneum is closed over the mesh.

We accommodate our clients in a modern, pleasant, air-conditioned single room. Each room has a private bathroom, refrigerator and television, as well as free WIFI access. We also provide our clients with individual nurse supervision, who will assist in your ongoing recovery during your stay.