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Pelvic Organ Prolapse Repair (Sacrospinous / Uterosacral Suspension)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, arms tucked
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Ask Surgeon
Blocks : Pudendal
Considerations : PONV

Anesthetic Approaches

1Spinal
2GLMA
3GETT, TIVA, Propofol Drip
The Surgery

Examination under anesthesia - once she is asleep or the block is up, the surgeon restages the prolapse with the muscle tone gone, which often reveals more descent than the clinic exam did and can...

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