Prolapse Surgery or Repair

surgical repair of pelvic organ prolapse

Prolapse repair is a surgical treatment for symptomatic vaginal bulge or pressure that is bothersome for many women with pelvic organ prolapse. Pelvic organ prolapse is caused by weakening of pelvic floor support structures and vaginal tissue, which can be caused by gravity and previous obstetric injury or births. Pelvic organ prolapse is also associated with smoking, some autoimmune conditions that weaken connective tissues, and neurological conditions such as multiple sclerosis. Repair procedures may be performed 100% vaginally, or may be performed through the abdomen by performing laparoscopic surgery. Vaginal approaches with native tissue repair include sacrospinous ligament fixation or uterosacral ligament suspension. Vaginal repair can alternatively be an obliterative procedure that permanently closes the vagina, such as colpocleisis, for women who are not sexually active and who have no plan or desire for future vaginal intercourse. Laparoscopic repairs in our practice typically involve use of a mesh securing the vaginal wall to the anterior longitudinal ligament of the sacrum, which is called sacrocolpopexy. There are variations on this theme of mesh support to repair prolapse depending on the circumstances and preference of individual patients, such as hysteropexy. it can be done laparoscopically with robotic assistance or abdominally in an open fashion. For example, sacrocolpopexy is preferred for women with recurrent prolapse after prior vaginal prolapse repair and prior hysterectomy.

Minimally Invasive Urogynecology, Gynecology, and Gynecologic Oncology

Prolapse Surgery or Repair

surgical repair of pelvic organ prolapse

Prolapse Surgery

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