Pelvic Organ Prolapse - Surgery
If you have pain and discomfort from
pelvic organ prolapse that does not respond to
nonsurgical treatment and lifestyle changes, you may want to consider surgery.
The choice of surgery depends upon which organs are involved, how bad your
symptoms are, and what other medical conditions are present. Also, your surgeon
may have experience with and preference for a certain procedure. The goals of
surgery are to relieve your symptoms and restore the normal functioning of your
There are several types of surgery to correct
stress urinary incontinence. These can be done at the
same time as surgery to repair prolapse. These surgeries lift the urethra
and/or bladder into their normal position. To learn more about these surgical
procedures, see the topic
Urinary Incontinence in Women.
- Pelvic Organ Prolapse: Should I Have Surgery?
Surgical procedures used to correct different types of
pelvic organ prolapse include:
What To Think About
Surgeries are designed to treat
specific symptoms, so you may still have other symptoms after surgery. An examination while you have a pessary in your vagina may help the doctor see if urinary incontinence would be a problem
after surgery. If the pessary test shows that urinary incontinence will be a
problem, another surgery can be done at the same time to fix the
Surgery in one part of your pelvis often makes a prolapse
in another part worse, possibly requiring separate treatment in the
Pelvic organ prolapse can come back after surgery.
Kegel exercises after surgery has been shown to
improve symptoms of pelvic organ prolapse more than surgery alone. Other
exercises recommended by a physical therapist, when done after surgery, can
have the same result.6
prolapse is strongly linked to labor and vaginal delivery, so you may want to delay surgery if you plan to have children.