Infracoccygeal sacropexy using mesh for vaginal vault 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 infracoccygeal sacropexy using mesh for vaginal vault prolapse repair .

It replaces the previous guidance on posterior infracoccygeal sacropexy for vaginal vault prolapse (Interventional Procedures Guidance no. 125, May 2005).

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: infracoccygeal sacropexy using mesh for uterine prolapse repair, sacrocolpopexy using mesh for vaginal vault prolapse repair, sacrocolpopexy using mesh for uterine prolapse repair and insertion of uterine suspension sling (including sacrohysteropexy) using mesh for uterine prolapse repair.

Description

Vaginal vault prolapse occurs in wome with previous surgical removal of the womb when the upper vaginal wall slips down from its normal position down into the vaginal canal or outside of the vagina. Infracoccygeal sacropexy is an operation that involves the insertion of a piece of material (mesh) with the aim of holding the vaginal vault in place.

OPCS4.6 Code(s):

P24.2 Sacrocolpopexy
or

P24.6 Repair of vault of vagina with mesh using vaginal approach

or

P24.7 Sacrospinous fixation of vagina

_{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:

	IPG281 Infracoccygeal sacropexy using mesh for vaginal vault prolapse repair: guidance (web format)	07 February 2011
	IPG281 Trin llithriad cromen y fagina â sacropecsi is-asgwrn y cwtyn: deall canllawiau NICE	30 September 2009
	IPG281 Trin llithriad cromen y fagina â sacropecsi is-asgwrn y cwtyn: deall canllawiau NICE (fformat MS Word)	30 September 2009
	IPG281 Infracoccygeal sacropexy using mesh for vaginal vault prolapse repair: guidance	28 January 2009
	IPG281 Infracoccygeal sacropexy using mesh for vaginal vault prolapse repair: understanding NICE guidance	28 January 2009
	IPG281 Infracoccygeal sacropexy using mesh for vaginal vault prolapse repair: understanding NICE guidance (MS Word format)	28 January 2009
	IPG281 Infracoccygeal sacropexy using mesh for vaginal vault prolapse repair: consultation comments	28 January 2009
	Infracoccygeal sacropexy using mesh for vaginal vault 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