Surgical Treatments
A surgical procedure may be the next necessary step if pain and discomfort cannot be eased even after attempting lifestyle changes or using pessaries.
Uterine prolapse surgery is a common and routine procedure, 1 in 10 women undergoes vaginal prolapse surgery by the time they reach 80 years old. There are several surgical options available for women with pelvic prolapse symptoms, and the most suitable approach depends on factors such as:
- The organs involved
- The severity of the vaginal prolapse
- Any other medical conditions existing
- Severe cases/ Prolapse occurs again.
Surgery treatment options include:
- Vaginal repair
- Vaginal hysterectomy
- Uterus-preserving prolapse surgery
- Vaginal and perineal reconstructive surgery
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Diagnosis of prolapse
At London Women’s Centre, we take a detailed history and perform an abdomen and pelvic examination to identify and determine the severity of the prolapse. Our urogynaecologist will examine you lying on her back or in a standing position to best demonstrate the prolapse and your symptoms.
If a pelvic mass (a rare cause of uterine prolapse) is suspected, further additional tests may be required such as an ultrasound to assess the pelvic floor and rule out pelvic mass.
When should you seek treatment for prolapse?
You should seek treatment when you are affected by your prolapse or are concerned that you might have a prolapse. Prolapse can affect day to day activities or affect quality of life and have both physical or emotional effects. If you are experiencing any of these then you should seek medical advice.
What is the treatment for prolapse?
The treatment options for pelvic organ prolapse should address the specific impact it has on your quality of life, aiming to alleviate symptoms effectively.
There are several therapeutic approaches available for women with vaginal or uterine prolapse, and not all of them require surgery. These treatments can include lifestyle modifications, such as avoiding activities that strain the pelvic floor, pelvic floor muscle strengthening exercises, and the use of intravaginal devices like vaginal pessaries.
For some women, surgery may be the most appropriate option, while a more conservative approach may be better for others. Our consultant urogynaecologist at London Women’s Centre will assess your symptoms, conduct an examination, and discuss with you a tailored treatment plan that suits your individual needs.
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