Pelvic Organ Prolapse Repair Surgery

Repair of uterine, bladder, or rectal prolapse to restore normal pelvic anatomy.

Pelvic organ prolapse (POP) occurs when the supporting tissues of the pelvic floor become lax, causing the bladder, uterus, or rectum to descend toward the vagina; in severe cases, they may even protrude through the vaginal opening.

It is common in women who have had multiple vaginal births, who have reduced estrogen after menopause, or who have long-term increased abdominal pressure (chronic cough, constipation, heavy lifting).

Common Symptoms

A noticeable heavy, dragging sensation in the lower abdomen or perineum
A feeling of something in the vagina, or a bulge you can feel
Difficulty urinating, urinary frequency, a feeling of incomplete emptying
Straining or difficulty with bowel movements
Discomfort during sexual activity

Surgical Options

The most suitable procedure is chosen based on the location of the prolapse (anterior wall, posterior wall, or apex) and its severity (POP-Q stage):

Laparoscopic sacrocolpopexy: suitable for apical prolapse; mesh is used to attach the uterus or vaginal apex to the sacrum, with stable results and a low recurrence rate
Anterior and posterior vaginal wall repair (colporrhaphy): repairs a cystocele (anterior wall) or rectocele (posterior wall)
Hysterectomy with prolapse repair: performed together when appropriate

Pre-Operative Evaluation

A thorough assessment of the degree of prolapse, your symptoms, and personal needs, including a pelvic exam, ultrasound, and urodynamic testing when needed, with a detailed discussion of your treatment plan at your pre-operative consultation.

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