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The nation's Institute for Health and Clinical Excellence (NICE) has issued full guidance towards the NHS in England, Wales, Scotland and Northern Ireland on sacrocolpopexy using mesh for vaginal vault prolapse repair. It replaces the previous guidance on mesh sacrocolpopexy for vaginal vault prolapse. NICE was notified of various procedures for that treatment of pelvic organ prolapse.
NICE asked the Review Body for Interventional Procedures to undertake an organized review of these procedures.The Interventional Procedures Advisory Committee (IPAC) considered the systematic review and have also produced guidance on: sacrocolpopexy using mesh for uterine prolapse repair, infracoccygeal sacropexy using mesh for vaginal vault prolapse repair, infracoccygeal sacropexy using mesh for uterine prolapse repair and insertion of uterine suspension sling (including sacrohysteropexy) using mesh for uterine prolapse repair.
Vaginal vault prolapse occurs when organs above or round the vagina slip down from their normal position. Sacrocolpopexy is definitely an operation that aims to supply support for the pelvic organs within their natural position. This is done by attaching a bit of material (mesh), usually in the top and back from the vagina, to a ligament from the lower back bone.