Information for the public

This procedure can only be done as part of a research study. This is because there is not enough evidence to be sure how well it works and how safe it is.

Apical prolapse happens when the womb (uterus), cervix or vaginal vault slips down from its usual position. The term ‘vault’ is used to describe the top of the vagina after a hysterectomy, when the cervix and womb have been removed. This procedure involves inserting a mesh inside the abdomen using a few small cuts (keyhole surgery). Each end of the mesh is attached to a ligament at either side of the pelvis. It acts like a sling to support the uterus or the top of the vagina.

NHS Choices may be a good place to find out more. NICE’s information on interventional procedures guidance has more about what a procedure is and how we assess them.

Is this procedure right for me?

If you’ve been offered this procedure, your healthcare professionals should discuss with you what is involved, and explain the research study, and tell you about the risks and benefits. They should talk with you about your options, and listen carefully to your views and concerns. Your family can be involved too, if you wish. All of this should happen before you agree (consent) to have the procedure and to be in the study. You should also be told how to find more information about the procedure. Read more about making decisions about your care.

Some questions to think about

  • What does the procedure involve?
  • What are the possible benefits? How likely am I to get them?
  • What are the risks or side effects? How likely are they?
  • What happens if the procedure doesn’t work or something goes wrong?
  • What happens if I don’t want the procedure? Are there other treatments available?

ISBN: 978-1-4731-2866-8

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