Pelvic Organ Prolapse (POP) occurs when the muscles and tissues of the pelvic floor become weak and no longer provide support to the pelvic organs. This results in their downward fall into the vagina. You may feel or see the tissue coming out of the vagina.
can result in dropping of the pelvic organs. 1 in 3 women who have given birth have
prolapse. It is more likely if you deliver a large baby, have multiple babies or had a
with age can weaken pelvic floor support.
Your urogynecologist can evaluate you for POP and the degree with a medical history and a pelvic exam. A standardized grading system is used to determine the severity.
Apical Suspensions: these procedures restore the support of the top of the vagina.
robotically. Mesh is attached from the vagina to strong ligaments on the sacrum.
through the vagina with no abdominal incisions and no mesh. The top of the vagina
is attached to a pelvic ligament.
Anterior Vaginal Prolapse Repair (anterior repair) uses an incision in the vaginal wall underneath the bladder to fix a cystocele (bladder drop). Sutures, mesh, or a graft are used.
Posterior Vaginal Prolapse Repair (posterior repair) uses an incision in the vaginal wall over the rectum to fix a rectocele (rectal bulge in the vagina). It rebuilds the wall between the vagina and rectum. A graft or mesh may be used.
Obliterative Procedure (Leforte Colpocleisis, Total Colpocleisis) shortens the vagina by stitching the inside vaginal walls together. This is a highly successful surgery for prolapse but means the patient can no longer have sexual intercourse.