Pelvic and Organ Prolapse

Surgical Treatment for Pelvic Organ Prolapse

Surgical options and procedures for repairing pelvic organ prolapse when conservative treatments are insufficient.

Surgical Approaches

Vaginal Repair

Traditional approach through the vagina. Includes anterior/posterior colporrhaphy for bladder/rectal prolapse repair.

Laparoscopic Surgery

Minimally invasive approach using small incisions. Allows for mesh placement and comprehensive pelvic floor reconstruction.

Robotic-Assisted Surgery

Advanced laparoscopic technique with robotic precision. Offers better visualization and dexterity for complex repairs.

Sacrocolpopexy

Abdominal procedure attaching vaginal apex to sacrum with mesh. Gold standard for apical prolapse with high success rates.

Hysterectomy

Removal of uterus when prolapse involves uterine descent. May be combined with other reconstructive procedures.

Colpocleisis

Obliteration of vaginal canal for elderly patients no longer sexually active. High success rate with low complication risk.

Mesh-Augmented Repair

Use of synthetic or biologic mesh to reinforce weakened tissues. Improves long-term success but carries mesh-related risks.

Key Considerations

  • • Age and overall health
  • • Sexual activity plans
  • • Previous surgeries
  • • Severity of prolapse
  • • Surgeon expertise