Pelvic organ prolapse repair

Pelvic organ prolapse is when some of the body’s organs – typically the bladder, rectum or uterus - drop down and push against the vagina.

What is pelvic organ prolapse repair?

Pelvic organ prolapse is when some of the body’s organs – typically the bladder, rectum or uterus - drop down and push against the vagina. This can be a distressing condition, but it does have a very effective treatment to rectify it. Pelvic organ prolapse repair is a surgical treatment that is carried out when other treatments for this condition haven’t worked. This is reconstructive surgery that repairs the pelvic floor and puts the organs back into their original position.

Am I a good candidate for the treatment?

This repair will usually only be considered when you have tried less evasive treatments that haven’t solved the problem. You’ll need to have tried non-surgical treatments such as pessary – a ring-like device that is inserted into your vagina to provide support – or kegel exercises. You may have also tried therapies such as biofeedback, which train you in contracting your pelvic muscles with the correct breathing techniques.

You will need to be fit and healthy in order to have this treatment. If you have serious underlying health conditions or are too weak to undergo a serious operation, then there may be other options your doctor will recommend to you.

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How does this procedure work?

This is a procedure that’s performed either through cuts in the vagina or through the abdomen. There are a number of different pelvic organ prolapse repair surgeries that can be carried out to rectify the condition, majority of which do not require the use of mesh. including vaginal mesh, in which a mesh is placed under the vaginal skin, which helps to elevate the organs into the correct position. Abdominal approach would require the use of mesh You can also undergo sacrocolpopexy, another mesh method that is specifically designed for lifting the uterus.

Another common procedure is anterior and posterior colporrhaphy, which aims to make the tissue that holds your organs in place stronger. This is typically used for the bladder and rectum. The procedure is carried out via the vagina. Finally, you can get ligament fixation or suspension, which is ideal for supporting the uterus. The procedure uses cuts of your tissue to suspend or fix the organs to the vaginal vault and pelvis ligament. The type of procedure chosen will depend on the organs that are sitting out of place, or on the severity of the condition.

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The recovery

This is a surgical treatment, so you will need adequate rest time afterwards to fully recover. We aim to undertake all the procedures as a day case to allow for better and safer recovery in a familiar environment. Rest time depends on the type of surgery you receive, but you should plan for a few weeks off work and other activities. You should avoid vigorous exercise and sex for at least six weeks after surgery – perhaps even longer if you’ve had abdominal surgery.

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