Pelvic organ prolapse occurs when one or more of the pelvic organs — such as the uterus, bladder, rectum, or vaginal walls — shift out of their normal position and bulge into the vaginal canal. This is often due to weakened pelvic floor muscles and ligaments, commonly caused by childbirth, aging, menopause, or chronic pressure (like from coughing or heavy lifting).
Prolapse surgery is performed to restore the normal position and function of these organs and relieve symptoms such as:
- Vaginal bulge or pressure
- Urinary incontinence or retention
- Difficulty with bowel movements
- Discomfort during sexual activity
Types of Prolapse Surgery
The surgical approach depends on the type and severity of the prolapse, as well as the patient’s overall health, age, and reproductive goals.
1. Vaginal Approach
- Surgery is performed through the vagina with no abdominal incisions.
- Often used for uterine or vaginal vault prolapse.
- May include anterior or posterior repair, vaginal hysterectomy, or vault suspension.
2. Laparoscopic / Minimally Invasive Surgery
- Small abdominal incisions with the use of a camera and precision instruments.
- Common for laparoscopic sacrocolpopexy or uterine suspension.
- Faster recovery, less pain, and minimal scarring.
3. Open Abdominal Surgery
- Recommended in certain complex or recurrent cases.
- Provides strong and long-lasting support for severe prolapse.