Pelvic Organ Prolapse Surgery

Prolapse Surgery for Pelvic Organ Prolapse

What is a prolapse?

Pelvic organ prolapse is defined as a weakness in the supporting structures which support either the bladder (‘cystocele’), uterus (‘uterine prolapse’) or rectum (‘rectocele’) and often results in a vaginal lump or heaviness being felt down below.

Depending on which structures the vaginal prolapse involves, you may experience issues with your bowels (constipation) or bladder (difficulty with urinary flow), but undoubtedly the most common symptom would be an overall feeling of ‘heaviness’ and a ‘dragging’ sensation.

What is involved in a pelvic organ prolapse diagnosis?

Diagnosis of the prolapse is made via a quick and easy examination in the rooms which shouldn’t cause you any discomfort.

What are the different types of prolapse?

The most common types of prolapse are: 

Anterior Vaginal Wall Prolapse

  • The bladder bulges into the front wall of the vagina (cystocele)
  • The urethra bugles into the front wall of the vagina (urethrocele)

Prosterior Vaginal Wall Prolapse 

  • The rectum bulges into the back wall of the vagina (rectocele)
  • The small intestine bulges into the back wall of the vagina (enterocele)

Uterine Prolapse 

  • The uterus descends into or outside the vagina

Vaginal Vault Prolapse 

  • The top of the vagina  descends (e.g. after a hysterectomy)

How do you treat pelvic organ prolapse?

The treatment of the prolapse really depends on where it is situated and the degree of symptoms experienced by the patient.

Often prolapse can be treated very successfully with non-surgical treatments, such as pelvic floor physio therapy or pessaries.

What happens during prolapse surgery?

For some people, surgical treatment is the preferred method and this can be approached in a variety of ways and can involve both a combination of both a vaginal and laparoscopic approach to get the best anatomical result.

Dr Sam Daniels is a AGES accredited laparoscopic surgeon
and a specialist endometriosis surgeon.