Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair.

NICE was notified of various procedures for the treatment of pelvic organ prolapse. NICE asked the Review Body for Interventional Procedures to undertake a systematic review of these procedures.The Interventional Procedures Advisory Committee (IPAC) considered the systematic review and have also produced guidance on: sacrocolpopexy using mesh for vaginal vault 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.

Description

Uterine prolapse occurs when the womb (uterus) slips down from its normal position into the vagina. Sacrocolpopexy is an operation involving the insertion of a piece of material (mesh) with the aim of holding the pelvic organs in place, following surgical removal of the womb.

OPCS4.6 Code(s):

An OPCS-4 code from one of the following categories is assigned:

Q07.- Abdominal excision of uterus

Q08.- Vaginal excision of uterus

Plus

P24.2 Sacrocolpopexy

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

Details

Contact details:

Links:

	IPG284 Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair: guidance (web format)	11 February 2011
	IPG284 Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair: guidance	28 January 2009
	IPG284 Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair: understanding NICE guidance	28 January 2009
	IPG284 Sacrocolpopexy using mesh for uterine prolapse repair: understanding NICE guidance (MS Word format)	28 January 2009
	IPG284 Trin llithriad y groth drwy sacrocolpopecsi rhwyll gyda hysterectomi: deall canllawiau NICE (fformat MS Word)	03 November 2009
	IPG284 Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair: consultation comments	23 January 2009
	Sacrocolpopexy using mesh for uterine prolapse repair: interventional procedure consultation document	27 August 2008
	A systematic review of the efficacy and safety of using mesh or grafts in surgery for uterine or vaginal vault prolapse	25 August 2008