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Pelvic Organ Prolapse

Pelvic Organ Prolapse Procedures

Pelvic organ prolapse occurs when the muscles and connective tissues in the pelvis, which hold up the pelvic organs, weaken causing the uterus, bladder or rectum to slip into the vaginal canal. At other times, a prolapsed uterus occurs. This is when all of the pelvic organs including the uterus or the upper portion of the vagina can protrude down into lower portion of the vagina or even outside of the opening of the vagina.

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Types of Pelvic Organ Prolapse

  • Cystocele — bladder sags or herniates into the vagina
  • Rectocele — rectum sags or herniates into the vagina
  • Enterocele — small intestines sag or herniate into the vagina
  • Uterine prolapse — uterus sags or herniates into the vagina
  • Vaginal vault prolapse — top of the vagina sags or herniates into the vagina
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Overview of Symptoms

  • Pressure or fullness in the pelvic area
  • Painful intercourse
  • A feeling that something is falling out of the vagina
  • Leaking of urine
  • Chronic urge to urinate

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.

Procedures

Colporrhaphy

Colporrhaphy is a minimally invasive surgical procedure that repairs and strengthens the vaginal wall after a pelvic organ prolapse (POP). A pelvic organ prolapse occurs when one of the organs in the pelvic floor region slips out of its normal location in the body. Anterior colporrhaphy — repair of cystocele through a cut in the vagina. Posterior colporrhaphy — repair of rectocele through a cut in the vagina

Sacrocolpopexy

Repair of the uterine or vaginal vault prolapse, utilizing a mesh to bridge the vagina to the tailbone. This can be done through a cut (or by laparoscopy) in your abdomen. Sacrocolpopexy is a procedure that uses a mesh material to support the top of the vagina to treat pelvic prolapse.

Enterocele repair

repair of enterocele through a cut in the vagina

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