Dr. Daniel Stone, MD FACOG
Urogynecologist located in Phoenix, AZ
Dr. Daniel Stone, MD performs Robotic-assisted laparoscopic sacrocolpopexies for patients in the Phoenix, Scottsdale and surrounding Arizona areas. These procedures can help patients that suffer from Pelvic Organ Prolapse. By performing this procedure minimally invasive, it provides the benefit of quicker recovery, fewer complications and risks compared to patients who have a traditional sacrocolpopexy.
Sacrocolpopexy Q & A
What is a Sacrocolpopexy?
A Sacrocolpopexy, also known as sacrocolpoperineopexy, sacrocervicopexy, sacrohysteropexy, is a surgery where the vagina is attached to a ligament of the sacrum using mesh material. Dr. Stone specializes in using a laparoscopic minimally invasive approach for this surgery by doing it through small incisions in the abdomen. A robot (da Vinci) is often used to assist Dr. Stone with this surgery. A Sacrocolpopexy is one of the most durable and successful approaches to fix prolapse and restore normal anatomy.
What is a Da Vinci Sacrocolpopexy?
Da Vinci is a surgical robotic system that is used to assist in laparoscopic surgery. Dr. Stone uses this system most of the time when he performs sacrocolpopexies.
What condition does a Sacrocolpopexy treat?
Sacrocolpexy is used to treat pelvic organ prolapse, especially if it involves the top of the vagina with uterine or vaginal vault prolapse. Symptoms of prolapse often include bulge, pressure and a sensation of something coming out.
Does a Sacrocolpopexy use mesh?
Yes, this surgery involves the use of permanent mesh. It is made out of polypropylene. Mesh related complications are around 1%. Dr. Stone will discuss this with you before any decision is made. Although the material is the same, the complication rate of mesh placed laparoscopically is significantly lower than the rate of complications of vaginally placed mesh for prolapse.
What is the recovery like?
Dr. Stone recommends 6 weeks of no heavy lifting (no more than 15 lbs) and 6 weeks of pelvic rest after these procedures.
What are the risks of Sacrocolpopexy?
Risks include the following
- Pain, swelling, numbness near incision sites
- Damage to nearby organs such as bowel, bladder, and rectum
- Blood clots and problems related to anesthesia
- Mesh exposure (~1%)
What are the alternatives to this repair?
There are several alternatives that Dr. Stone will discuss with you. Conservative alternatives will include "watching and waiting", pessary placement, and pelvic floor physical therapy. The primary surgical alternative is a vaginal vault suspension, which can be a laparoscopic or a vaginal procedure. These procedures tend to have a higher failure rate but since they involve using someone’s own tissue, there are no mesh complications. Dr. Stone will discuss with you the advantages and disadvantages of each approach and individualize his recommendation based on your values, expectations and specific condition.
Are there any other surgeries that are commonly performed with Sacrocolpopexy?
Yes, rarely is this surgery performed in isolation. Dr. Stone will discuss with you any other surgeries that would be performed at the same time. Other commonly performed surgeries include:
- Hysterectomy (removal of uterus and/or cervix)
- Bilateral Salpingo-oophorectomy (removal of tubes and ovaries)
- Bilateral Salpingectomy (removal of tubes)
- Other prolapse repair surgeries
- Cystoscopy (a camera is used to look inside the bladder)
- Anti-incontinence surgeries
Major Insurance Providers Accepted
We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.
Phoenix, Arizona 85016-1302
Office Hours: Monday-Friday from 8 AM – 5 PM
Main: (602) 788-1521
Fax: (602) 688-5420
Conveniently located just off Highway 51 on Maryland Avenue just East of 16TH Street between East Bethany Home Road and East Glendale Avenue.