PROMONTOFIXATION

Promontofixation

The intervention is carried out under general anaesthetic. It can be done by laparoscopy (a type of surgical procedure in which a small incision is made, through which a viewing tube (laparoscope) is inserted to view the organs in the abdomen or permit small-scale surgery), or by abdominal incision. During the operation, the patient is lying on the back. A urinary catheter is put in place at the beginning of the intervention.

  • A synthetic prosthesis is fixed between the bladder and the anterior (front) wall of the vagina.
  • A second prosthesis may be fixed between the rectum and the posterior (back) wall of the vagina.
  • The/each prosthesis is then attached to a very strong ligament located in front of the spinal column, in front of the sacrum bone, at the promontory.

The catheter is usually removed on the same day after the intervention. Intestinal transit normally resumes within 48 hours. However, patients usually experience constipation in the first month after the intervention. Therefore it is recommended to use a laxative during this period.

Patients usually stay in the hospital for one day, and the convalescence can be expected to last for 1 month. During this time, one must restrain from abdominal efforts: it is not allowed to carry heavy loads or push strong when going to the toilet.

However, you will be able to walk and drive.

In any case, one must avoid strong efforts.

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