02/23/2026
đĽThe Ultimate Guide to Sacrocolpopexy: Risks, Mesh Safety, and Prolapse Recovery
Are you dealing with pelvic organ prolapse (POP) and feeling overwhelmed by conflicting information online? In todayâs video, Dr. Richard Farnam welcomes world-renowned urogynecologist Dr. Erinn Myers to answer your most pressing questions about Sacrocolpopexyâthe gold standard for prolapse repair.
From the safety of medical-grade polymers (mesh) to the nuances of s*xual function after surgery, weâre breaking down the "scary words" and providing data-driven insights to help you make an informed decision about your pelvic health.
đIn this video, we discuss:
⢠What is Sacrocolpopexy? Why itâs considered the "gold standard" with a 95% success rate over 10 years.
⢠The Mesh Debate: Understanding the difference between abdominal sacrocolpopexy mesh and discontinued vaginal mesh kits.
⢠Risks vs. Benefits: Does using your own tissue (autologous fascia) actually reduce surgical risk? (The answer might surprise you).
⢠Hysterectomy & Prolapse: Should you keep your uterus during a sacrocolpopexy? Dr. Myers explains the long-term "downstream" effects.
⢠Sexual Function: Will surgery make things "tighter"? We discuss the difference between anatomic suspension and vaginal narrowing procedures.
⢠Prolapse in Seniors: Choosing the right path for patients aged 80+, including the "narrowing" procedure known as Colpocleisis.
â¨About Our Guest: Dr. Erinn Myers, MD, is a board-certified Urogynecologist based in North Carolina, recognized globally for her expertise in pelvic floor reconstruction.
â¨About Your Host: Dr. Richard Farnam, MD, is a pioneer in robotic surgery and patient advocacy, dedicated to providing transparent, expert-level medical education for women everywhere.
đConnect with Dr. Richard Farnam:
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Disclaimer:
This content is for entertainment only, not medical advice. I'm Dr. Richard Farnam, but the character "Doctor Richâsâ comedy is often fictional, satirical, exaggeratedâ and may not be representative of real-life medical practices. Viewer discretion is advised for satire/humor (e.g. when it touches on sensitive subjects/pop culture) and shouldnât be interpreted as factual commentary or endorsement. Consult a medical professional for questions.