colposuspensionleikkauksia

Colposuspensionleikkauksia refers to a group of surgical procedures aimed at correcting pelvic organ prolapse, particularly involving the vaginal apex or supporting ligaments. The term is derived from the English word “colpo‑suspension” combined with the Finnish suffix “‑leikkaus,’ meaning “surgery.” These operations are performed to restore the normal position of the uterus, cervix or vaginal vault and to relieve symptoms such as bulging, pressure, and urinary dysfunction.

The indications for colposuspension surgeries include uterine prolapse grades III–IV, cystoceles, or pelvic organ prolapse that has failed conservative treatments. Patients often report a feeling of a bulgy sensation in the vagina, urinary urgency, or recurrent urinary tract infections. The procedures are usually indicated when anatomical support is lacking and when the prolapse is causing functional impairment or discomfort.

Common techniques are the uterosacral ligament suspension and the sacrospinous ligament suspension. In the uterosacral approach, the uterus is lifted to the uterosacral ligaments, whereas the sacrospinous technique attaches the vaginal apex to the sacrospinous ligament in the pelvis. The choice of technique depends on the patient’s anatomy, the severity of prolapse, and the surgeon’s preference. These operations can be performed laparoscopically, robotically or through an open abdominal incision.

Recovery from colposuspension leikkauksia typically takes two to four weeks of limited activity, with gradual return to normal daily functions. Possible complications include bleeding, infection, urinary retention, and in rare cases, postoperative pain or mesh erosion if synthetic materials are used. Long‑term outcomes are generally positive, with low recurrence rates when the procedure is matched appropriately to the individual patient’s anatomy and prolapse severity.