Pelvic Organ Prolapse: Surgery for Uterine Prolapse
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| Uterine prolapse |
Uterine prolapse is when the uterus drops into the vagina. In severe cases, the uterus can protrude from the vagina. The goal of surgery is to repair the problem and relieve your symptoms.
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| Hysterectomy |
The Surgical Procedure
Hysterectomy (removal of the uterus) and surgery to support the vagina are done to repair uterine prolapse. This type of surgery can be performed through the vagina or abdomen. Sutures (stitches) are used to attach the vagina to strong tissue in the pelvis. This supports the top part of the vagina. During surgery, other procedures may be done to prevent vaginal vault prolapse.
Possible Risks and Complications of Surgery
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Infection
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Bleeding
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Risks of anesthesia
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Damage to nerves, muscles, or nearby pelvic structures
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Blood clots
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Prolapse of the pelvic organ or organs occurring again
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Your Incisions
During surgery, the doctor reaches your pelvic organs through the vagina or the abdomen. An incision may be made in the vagina wall. If incisions are made on the abdomen (lower belly), they can be vertical (up and down) or transverse (across.).
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| Incision made in vaginal wall |
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| Abdominal incisions |
Publication Source:
Herschorn S, Wein: Campbell-Walsh Urology, 9th ed., Chapter 66 – Vaginal Reconstructive Surgery for Sphincteric Incontinence and Prolapse, 2007, pp 2198-2211
Publication Source:
Miklos JR Moore RD, Kohli N, Obstetrics and Gynecology Clinics of North America 31(3), Laparoscopic pelvic floor repair, Sep 1 2004, pp 551-565
Publication Source:
Parker WH, Obstetrics and Gynecology Clinics of North America 31(3), Total laparoscopic hysterectomy and laparoscopic supracervical hysterectomy, Sep 1 2004, pp 523-537
Online Medical Reviewer:
McDonald, Thad, MD
Date Last Reviewed:
1/15/2007
Date Last Modified:
7/9/2002