Materiały źródłowe

• #1 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Three types of pessaries […] Pessaries come in many shapes and sizes. The device fits into the vagina and provides support to vaginal tissues displaced by pelvic organ prolapse. A health care provider can fit a pessary and help provide information about which type would work best. […] If you have uterine prolapse and it doesn’t bother you, treatment may not be needed. You might choose to wait and see what happens. But when prolapse symptoms bother you, your provider may suggest: […] Self-care measures. Self-care measures might provide relief from symptoms or help prevent the prolapse from getting worse. Self-care measures include performing exercises to strengthen pelvic muscles. These are called Kegel exercises. You might also benefit from losing weight and treating constipation. […] A pessary. A vaginal pessary is a silicone device inserted into the vagina. It helps prop up bulging tissues. A pessary must be removed regularly for cleaning.

• #2 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse

  Uterine prolapse is a common condition that can happen as you age. Over time, and with multiple vaginal childbirths, the muscles and ligaments around your uterus weaken. When this support structure starts to fail, your uterus can sag out of position. Treatment for uterine prolapse involves surgical and nonsurgical options based on the severity of the prolapse. […] There are surgical and nonsurgical options for treating uterine prolapse. Your healthcare provider will pick your treatment path based on the severity of your prolapse, your general health, age and whether or not you want children in the future. Treatment is generally effective for most people. Treatment options can include: […] Special exercises, called Kegel exercises, can help strengthen your pelvic floor muscles. This may be the only treatment needed in mild cases of uterine prolapse.

• #3

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/

  If the prolapse is more severe or your symptoms are affecting your daily life, there are several further treatment options to consider. […] These include: pelvic floor exercises, hormone treatment, vaginal pessaries, surgery. […] The recommended treatment will depend on the type and severity of the prolapse, your symptoms and your overall health. […] You and your doctor will decide together what’s the best option for you.

• #4 Uterine Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/264231-treatment

  Patients with mild uterine prolapse do not require therapy because they are usually asymptomatic. However, when symptoms occur, many patients initially opt for conservative treatment. Patients who are poor surgical candidates or are strongly disinclined to surgery can be offered pessaries for symptom relief. ACOG recommends that women be offered a vaginal pessary as a noninvasive alternative to surgery. […] Topical estrogen is an important adjunct in the conservative management of patients with UP. […] Pelvic exercises (Kegel exercises) and pessaries are the current mainstays of nonsurgical management of patients with UP. […] Vaginal support devices are excellent options for treating patients with UP conservatively, and pessary use has few contraindications aside from acute pelvic inflammatory disease and pain after insertion.

• #5 Pelvic organ prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/diagnosis-treatment/drc-20562951

  Treatment depends on your symptoms and how much they bother you. If your pelvic organ prolapse doesn’t bother you, your healthcare professional might suggest no treatment or treating the prolapse without surgery. If symptoms get worse and affect your quality of life, you might need surgery. […] Many people with prolapse also are in menopause. Menopause lowers estrogen levels. Too little estrogen can weaken vaginal tissue and lead to vaginal dryness. Talk with your healthcare professional about whether treatment with estrogen is right for you. The use of vaginal estrogen might be an option. […] Your healthcare professional may suggest pelvic floor exercises using biofeedback to strengthen muscles of the pelvic floor. […] Using a pessary is a nonsurgical way to support prolapsed pelvic organs. These silicone devices come in various shapes and sizes. They’re put in the vagina to hold the pelvic organs in place.

• #6 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Close the opening of the vagina. This procedure is called a colpocleisis. It may allow for an easier recovery from surgery. This surgery is only an option for those who no longer want to use the vaginal canal for sexual activity. […] Place a piece of mesh to support vaginal tissues. In this procedure, vaginal tissues are suspended from the tail bone using a synthetic mesh material. […] All surgeries have risks. Risks of surgery for uterine prolapse include: […] Talk with your health care provider about all your treatment options to be sure you understand the risks and benefits of each. […] Depending on how severe uterine prolapse is, self-care measures might provide relief from symptoms. You might try to: […] Kegel exercises can strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. This might relieve symptoms that can happen with uterine prolapse.

• #7 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse

  Uterine prolapse is a common condition that can happen as you age. Over time, and with multiple vaginal childbirths, the muscles and ligaments around your uterus weaken. When this support structure starts to fail, your uterus can sag out of position. Treatment for uterine prolapse involves surgical and nonsurgical options based on the severity of the prolapse. […] There are surgical and nonsurgical options for treating uterine prolapse. Your healthcare provider will pick your treatment path based on the severity of your prolapse, your general health, age and whether or not you want children in the future. Treatment is generally effective for most people. Treatment options can include: […] Special exercises, called Kegel exercises, can help strengthen your pelvic floor muscles. This may be the only treatment needed in mild cases of uterine prolapse.

• #8 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=134&contentid=223

  If your symptoms bother you or you’re not comfortable during everyday activities, talk with your healthcare provider about treatment options. Lifestyle changes, such as losing weight, may help. […] Pelvic floor muscle training can also help improve symptoms. This can strengthen muscles around your uterus. A physical therapist or other healthcare provider can give you specific exercises to do. One example is Kegel exercises. They strengthen your pelvic floor muscles. To do Kegel exercises, squeeze the muscles you use to control the flow of urine. Hold for up to 8 to 10 seconds, then release. Repeat this 8 to 12 times, 3 times a day. Try to do these exercises every day but at least 3 to 4 times per week. […] A pessary can also ease symptoms. This is a device your healthcare provider inserts into your vagina to support your pelvic organs.

• #9 Prolapse! Now, What? – Dr Amruta Inamdar – Pelvic Floor Physical Therapy

  https://dramrutainamdar.com/prolapse-now-what/

  Uterine prolapse occurs when the uterus descends into the vaginal canal. […] The main solution for true weakness is a proper KEGEL Routine, only when prescribed to! The exercises are incredibly helpful and will only give your Pelvic Floor muscles the flexibility and strength it needs to reduce and relieve those incredibly uncomfortable symptoms. […] In the case of uterine prolapse, research has shown that some women with mild to moderate prolapse, in this case stages 1 or 2, can reduce the symptoms through supervised pelvic floor physical therapy significantly, enough so that they can avoid surgery completely. […] However, there is not enough research at the current time to know fully if women with severe prolapse symptoms can reverse them, along with the severity of it through exercises, that means women with prolapse above stage 3, which is why, I always suggest a multifaceted approach, so reach out to your Gynecologist and Pelvic PT, to have a better understanding of your current situation and treatment plan!

• #10 How We Treat Pelvic Organ Prolapse

  https://www.medstarhealth.org/blog/treating-pelvic-organ-prolapse

  For some of our female patients, these symptoms, and other discomforts in the pelvic area, may actually be caused by pelvic organ prolapsea quite common condition that up to half of all women will experience to some degree over time. […] If youre unable to empty your bladder, feel that your bowel movements are being blocked, have painful intercourse, or feel an uncomfortable bulge in the vagina, its time to seek medical attention. […] We can often recommend specific exercises that will actually help improve the situation. And if the problem is severe, reaching out for treatment can be life-changing. […] Degree of patient bother and severity determine the course of treatment. […] Mild cases may be monitored for worsening. We teach our patients how to correctly perform Kegel exercises, which can go a long way toward improving strength in the pelvic muscles.

• #11 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Three types of pessaries […] Pessaries come in many shapes and sizes. The device fits into the vagina and provides support to vaginal tissues displaced by pelvic organ prolapse. A health care provider can fit a pessary and help provide information about which type would work best. […] If you have uterine prolapse and it doesn’t bother you, treatment may not be needed. You might choose to wait and see what happens. But when prolapse symptoms bother you, your provider may suggest: […] Self-care measures. Self-care measures might provide relief from symptoms or help prevent the prolapse from getting worse. Self-care measures include performing exercises to strengthen pelvic muscles. These are called Kegel exercises. You might also benefit from losing weight and treating constipation. […] A pessary. A vaginal pessary is a silicone device inserted into the vagina. It helps prop up bulging tissues. A pessary must be removed regularly for cleaning.

• #12 Uterine Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/264231-treatment

  Many different types of pessaries can be used, and pessary fitting is far from an exact science. […] The primary management strategy for severe UP is surgical. For patients in whom conservative management has failed, various surgical approaches are available to correct POP. […] Abdominal sacrocolpopexy procedure allows the upper vagina to regain its normal anatomic axis (sitting upon and parallel to the pelvic floor) by securing the polypropylene mesh applied to apical vagina/cervix or the uterus, to the sacrum with sutures through the presacral fascia at the promontory or at S1 or S2 if it is strong and free of vessels. […] Various grafts have been used for sacropexy procedures (eg, harvested fascia lata abdominal fascia, cadaveric fascia lata, Marlex, Prolene, Gore-Tex, Mersilene, Vipro-II) with variable success rates.

• #13

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  There are several treatment options available for pelvic organ prolapse. […] Treatment options include: lifestyle changes, pelvic floor exercises, hormone treatment, vaginal pessaries, surgery. […] If you have a mild prolapse and have been through the menopause, your doctor may recommend treatment with oestrogen to ease some of your symptoms, such as vaginal dryness or discomfort during sex. […] Vaginal pessaries allow you to get pregnant in the future. They can be used to ease the symptoms of moderate or severe prolapses and are a good option if you cannot or would prefer not to have surgery. […] If non-surgical options have not worked or the prolapse is more severe, surgery may be an option. […] There are several different surgical treatments for pelvic organ prolapse. […] For women with a prolapsed womb who have been through the menopause or do not wish to have any more children, a doctor may recommend surgery to remove the womb (hysterectomy).

• #14 Nonsurgical Treatment for Pelvic Organ Prolapse | NYU Langone Health

  https://nyulangone.org/conditions/pelvic-organ-prolapse/treatments/nonsurgical-treatment-for-pelvic-organ-prolapse

  NYU Langone doctors sometimes recommend a pessary to women who dont want surgery, either because they want to become pregnant in the future or they have other reasons for not choosing a surgical treatment. […] Your doctor may prescribe topical estrogen to help prevent any irritation caused by the pessary. […] Pelvic floor muscle exercises are designed to strengthen the muscles and ligaments of the pelvis and vagina. […] Pelvic floor exercises can help to ease the pain and discomfort of prolapse by strengthening muscles to provide more support to the pelvic organs. […] Your doctor can teach you how to identify, tighten, and release your pelvic floor muscles.

• #15 Pelvic Organ Prolapse: Causes, Symptoms, and Treatment

  https://patient.info/womens-health/genitourinary-prolapse-leaflet

  There can be prolapse of the womb (uterus) into the vagina. This is called a uterine prolapse. It is the second most common type of pelvic organ prolapse. […] The aims of treatment for pelvic organ prolapse are to ensure that you: Are comfortable and pain-free. Are able to pass urine and stools (faeces) adequately and have no problems with urinary or faecal loss of control (incontinence). Are able to have sex comfortably. Do not experience any complications relating to the prolapse, such as urine infections or ulceration of the prolapse. Are able to continue to have children if you so desire. […] Some women will need surgery for their prolapse. However current guidance is that non-surgical methods should always be tried first. […] A vaginal pessary can be a very good way to manage pelvic organ prolapse. It may be used by: Women who do not wish to have surgery. Women who are still of child-bearing age. Women who are waiting for surgery. Women who have other illnesses that may make surgery more risky.

• #16 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Three types of pessaries […] Pessaries come in many shapes and sizes. The device fits into the vagina and provides support to vaginal tissues displaced by pelvic organ prolapse. A health care provider can fit a pessary and help provide information about which type would work best. […] If you have uterine prolapse and it doesn’t bother you, treatment may not be needed. You might choose to wait and see what happens. But when prolapse symptoms bother you, your provider may suggest: […] Self-care measures. Self-care measures might provide relief from symptoms or help prevent the prolapse from getting worse. Self-care measures include performing exercises to strengthen pelvic muscles. These are called Kegel exercises. You might also benefit from losing weight and treating constipation. […] A pessary. A vaginal pessary is a silicone device inserted into the vagina. It helps prop up bulging tissues. A pessary must be removed regularly for cleaning.

• #17 Nonsurgical Treatment for Pelvic Organ Prolapse | NYU Langone Health

  https://nyulangone.org/conditions/pelvic-organ-prolapse/treatments/nonsurgical-treatment-for-pelvic-organ-prolapse

  NYU Langone doctors sometimes recommend a pessary to women who dont want surgery, either because they want to become pregnant in the future or they have other reasons for not choosing a surgical treatment. […] Your doctor may prescribe topical estrogen to help prevent any irritation caused by the pessary. […] Pelvic floor muscle exercises are designed to strengthen the muscles and ligaments of the pelvis and vagina. […] Pelvic floor exercises can help to ease the pain and discomfort of prolapse by strengthening muscles to provide more support to the pelvic organs. […] Your doctor can teach you how to identify, tighten, and release your pelvic floor muscles.

• #18

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  There are several treatment options available for pelvic organ prolapse. […] Treatment options include: lifestyle changes, pelvic floor exercises, hormone treatment, vaginal pessaries, surgery. […] If you have a mild prolapse and have been through the menopause, your doctor may recommend treatment with oestrogen to ease some of your symptoms, such as vaginal dryness or discomfort during sex. […] Vaginal pessaries allow you to get pregnant in the future. They can be used to ease the symptoms of moderate or severe prolapses and are a good option if you cannot or would prefer not to have surgery. […] If non-surgical options have not worked or the prolapse is more severe, surgery may be an option. […] There are several different surgical treatments for pelvic organ prolapse. […] For women with a prolapsed womb who have been through the menopause or do not wish to have any more children, a doctor may recommend surgery to remove the womb (hysterectomy).

• #19 Pelvic organ prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/diagnosis-treatment/drc-20562951

  Treatment depends on your symptoms and how much they bother you. If your pelvic organ prolapse doesn’t bother you, your healthcare professional might suggest no treatment or treating the prolapse without surgery. If symptoms get worse and affect your quality of life, you might need surgery. […] Many people with prolapse also are in menopause. Menopause lowers estrogen levels. Too little estrogen can weaken vaginal tissue and lead to vaginal dryness. Talk with your healthcare professional about whether treatment with estrogen is right for you. The use of vaginal estrogen might be an option. […] Your healthcare professional may suggest pelvic floor exercises using biofeedback to strengthen muscles of the pelvic floor. […] Using a pessary is a nonsurgical way to support prolapsed pelvic organs. These silicone devices come in various shapes and sizes. They’re put in the vagina to hold the pelvic organs in place.

• #20 How We Treat Pelvic Organ Prolapse

  https://www.medstarhealth.org/blog/treating-pelvic-organ-prolapse

  Some physical therapists are trained to address pelvic floor issues. We may refer you to one of these specialists for training on when and how to contract and relax pelvic muscles, in order to minimize pain and improve muscle tone. […] Post-menopausal women with symptoms of pelvic organ prolapse may be prescribed estrogen applied as a cream, suppository, or ring. […] As part of treatment, we sometimes recommend that the patient use a pessarya silicone disc placed into the vagina like a diaphragm. […] In situations when surgery is required, we can often correct prolapse with vaginal native tissue repair, requiring no abdominal incisions. […] For younger women, we may recommend an abdominal surgery known as sacrocolpopexy, which can be done with minimally invasive techniques, using tiny abdominal incisions.

• #21 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=134&contentid=223

  If your symptoms bother you or you’re not comfortable during everyday activities, talk with your healthcare provider about treatment options. Lifestyle changes, such as losing weight, may help. […] Pelvic floor muscle training can also help improve symptoms. This can strengthen muscles around your uterus. A physical therapist or other healthcare provider can give you specific exercises to do. One example is Kegel exercises. They strengthen your pelvic floor muscles. To do Kegel exercises, squeeze the muscles you use to control the flow of urine. Hold for up to 8 to 10 seconds, then release. Repeat this 8 to 12 times, 3 times a day. Try to do these exercises every day but at least 3 to 4 times per week. […] A pessary can also ease symptoms. This is a device your healthcare provider inserts into your vagina to support your pelvic organs.

• #22 Uterine Prolapse: Stages, Causes, Symptoms, and Treatment,

  https://www.webmd.com/women/prolapsed-uterus

  If your uterine prolapse isn’t bothering you, you might not need treatment at all. If you do have bothersome symptoms, treatment will depend on how severe the symptoms are and your preferences. […] Among things you can try: […] You can strengthen your pelvic muscles with movements called Kegel exercises. […] Drinking more water and getting more fiber in your diet can help relieve constipation, so you don’t strain to poop and put extra pressure on your pelvic muscles. […] A healthy weight puts less pressure on your pelvic organs. […] Your doctor can prescribe a rubber or plastic doughnut-shaped device that’s inserted in your vagina to hold your uterus in place. […] Doctors sometimes prescribe estrogen, in the form of pills, patches, vaginal creams, etc., to help with uterine prolapse.

• #23 Uterine prolapse: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001508.htm

  Uterine prolapse occurs when the womb (uterus) drops down and presses into the vaginal area. […] You do not need treatment unless you are bothered by the symptoms. […] Many women will get treatment by the time the uterus drops to the opening of the vagina. […] The following can help you control your symptoms: Lose weight if you are obese. Avoid heavy lifting or straining. Get treated for a chronic cough. If your cough is due to smoking, try to quit. […] Your provider may recommend placing a rubber or plastic donut-shaped device, into your vagina. This is called a pessary. This device holds your uterus in place. […] Surgery should not be done until the prolapse symptoms are worse than the risks of having surgery. […] There are some surgical procedures that can be done without removing the uterus, such as a sacrospinous fixation.

• #24 Uterine prolapse Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/uterine-prolapse

  Uterine prolapse occurs when the womb (uterus) drops down and presses into the vaginal area. […] You do not need treatment unless you are bothered by the symptoms. […] Many women will get treatment by the time the uterus drops to the opening of the vagina. […] The following can help you control your symptoms: Lose weight if you are obese. Avoid heavy lifting or straining. Get treated for a chronic cough. If your cough is due to smoking, try to quit. […] Your provider may recommend placing a rubber or plastic donut-shaped device, into your vagina. This is called a pessary. This device holds your uterus in place. […] Surgery should not be done until the prolapse symptoms are worse than the risks of having surgery. […] There are some surgical procedures that can be done without removing the uterus, such as a sacrospinous fixation. […] Vaginal pessaries can be effective for many women with uterine prolapse. […] Surgery often provides very good results. However, some women may need to have the treatment again in the future.

• #25 Uterine Prolapse: Stages, Causes, Symptoms, and Treatment,

  https://www.webmd.com/women/prolapsed-uterus

  If your uterine prolapse isn’t bothering you, you might not need treatment at all. If you do have bothersome symptoms, treatment will depend on how severe the symptoms are and your preferences. […] Among things you can try: […] You can strengthen your pelvic muscles with movements called Kegel exercises. […] Drinking more water and getting more fiber in your diet can help relieve constipation, so you don’t strain to poop and put extra pressure on your pelvic muscles. […] A healthy weight puts less pressure on your pelvic organs. […] Your doctor can prescribe a rubber or plastic doughnut-shaped device that’s inserted in your vagina to hold your uterus in place. […] Doctors sometimes prescribe estrogen, in the form of pills, patches, vaginal creams, etc., to help with uterine prolapse.

• #26 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Surgery may be needed to repair uterine prolapse. Minimally invasive surgery, called laparoscopic surgery, or vaginal surgery might be an option. […] If you only have a uterine prolapse, surgery may involve: […] Taking out the uterus. This is called a hysterectomy. Hysterectomy may be recommended for uterine prolapse. […] A procedure that keeps the uterus in place. This is called a uterus-sparing procedure. These surgeries are for people who might want to have another pregnancy. There is less information on how effective these types of surgeries are. More study is needed. […] But if you have prolapse of other pelvic organs along with uterine prolapse, surgery may be a bit more involved. Along with a hysterectomy to take out the uterus, your surgeon may also: […] Use stitches to fix weak pelvic floor structures. This can be done in a way that keeps the depth and width of the vagina intact for sexual function.

• #27 Uterine Prolapse: Background, History of the Procedure, Problem

  https://emedicine.medscape.com/article/797295-treatment

  The primary management of severe UP is surgical. For patients in whom conservative management has failed, a variety of surgical approaches to correct POP are available. […] When planning the appropriate approach, the surgeon must consider operative risk, coital activity, and vaginal canal anatomy. The following list illustrates variables that must be considered. […] Note the following: Medical condition and age, Severity of symptoms, Patient’s choice (ie, surgery or no surgery), Patient’s suitability for surgery, Presence of other pelvic conditions requiring simultaneous treatment, including urinary or fecal incontinence, Presence or absence of urethral hypermobility, Presence or absence of pelvic floor neuropathy, History of previous pelvic surgery.

• #28 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What are the types of surgery for pelvic organ prolapse? In general, there are two types of surgery: 1) obliterative surgery and 2) reconstructive surgery. […] How does reconstructive surgery treat pelvic organ prolapse? The goal of reconstructive surgery is to restore organs to their original position. This is the most common type of pelvic organ prolapse surgery. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen or with laparoscopy. A surgical robot may be used to help with laparoscopy. […] What should I know about surgical mesh? Surgical mesh is used in some types of reconstructive surgery to reinforce or support prolapsed organs. Mesh can be made of animal material or from synthetic materials. There are risks and benefits to using mesh in POP surgery. Talk with your surgeon about the risks and benefits when deciding what type of reconstructive surgery to have.

• #29 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Surgery may be needed to repair uterine prolapse. Minimally invasive surgery, called laparoscopic surgery, or vaginal surgery might be an option. […] If you only have a uterine prolapse, surgery may involve: […] Taking out the uterus. This is called a hysterectomy. Hysterectomy may be recommended for uterine prolapse. […] A procedure that keeps the uterus in place. This is called a uterus-sparing procedure. These surgeries are for people who might want to have another pregnancy. There is less information on how effective these types of surgeries are. More study is needed. […] But if you have prolapse of other pelvic organs along with uterine prolapse, surgery may be a bit more involved. Along with a hysterectomy to take out the uterus, your surgeon may also: […] Use stitches to fix weak pelvic floor structures. This can be done in a way that keeps the depth and width of the vagina intact for sexual function.

• #30 Prolapse Surgery: Uterine, Vaginal, Bladder | University of Utah Health

  https://healthcare.utah.edu/womens-health/gynecology/surgery/prolapse

  The main advantage of prolapse surgery is improving your quality of life. Surgery may be considered for patients experiencing: stress urinary incontinence, discomfort, or prolapse that is bad enough to interfere with daily life. […] Most prolapse surgeries are done as a minimally invasive procedure without a large incision (cut). This procedure is typically performed under general anesthesia (put to sleep). […] Your urogynecologist will repair the area that is prolapsed and perform any other repairs or procedures to strengthen and secure the pelvic floor. These could include: repairing your bladder, adding surgical mesh to support your organ(s), or performing a hysterectomy to remove your uterus. […] Recovering from prolapse surgery will take one to six weeks, depending on the extent of repairs.

• #31 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Surgery may be needed to repair uterine prolapse. Minimally invasive surgery, called laparoscopic surgery, or vaginal surgery might be an option. […] If you only have a uterine prolapse, surgery may involve: […] Taking out the uterus. This is called a hysterectomy. Hysterectomy may be recommended for uterine prolapse. […] A procedure that keeps the uterus in place. This is called a uterus-sparing procedure. These surgeries are for people who might want to have another pregnancy. There is less information on how effective these types of surgeries are. More study is needed. […] But if you have prolapse of other pelvic organs along with uterine prolapse, surgery may be a bit more involved. Along with a hysterectomy to take out the uterus, your surgeon may also: […] Use stitches to fix weak pelvic floor structures. This can be done in a way that keeps the depth and width of the vagina intact for sexual function.

• #32 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=134&contentid=223

  Surgery to rebuild the area is another option. A hysterectomy may be done at the same time. This is surgery to remove your uterus. This can be done through your vagina using a laparoscope or through your belly (abdomen). The healing time is faster when the surgery is done through the vagina than with surgery that needs a cut (incision) in the abdomen. There also are fewer complications. […] There are different ways to treat uterine prolapse. They include lifestyle changes, a pessary, or surgery to rebuild the area and possibly remove the uterus.

• #33 Hysterectomy for Uterine Prolapse | CU Urogynecology | Aurora, CO

  https://urogyn.coloradowomenshealth.com/treatments/pelvic-reconstructive-surgery/hysterectomy-uterine-prolapse.html

  A hysterectomy for uterine prolapse removes the uterus that has dropped into the vagina. […] When the symptoms of uterine prolapse become debilitating for a woman and nonsurgical treatments and surgical options to repair the uterus are not appropriate, we recommend hysterectomy. […] A hysterectomy for uterine prolapse will leave a woman unable to carry a child and is only recommended for women who are beyond their childbearing years. […] When a woman’s uterine prolapse is mild, observation may be the best treatment. Kegel exercises, weight loss, pelvic floor therapy and a pessary can work for some uterine prolapse. […] A hysterectomy can be completed through an open abdominal, vaginal or laparoscopic surgery. […] At CU Urogynecology a common type of hysterectomy for uterine prolapse is a vaginal approach, where the uterus is surgically removed through the vagina.

• #34 Hysterectomy for Uterine Prolapse | CU Urogynecology | Aurora, CO

  https://urogyn.coloradowomenshealth.com/treatments/pelvic-reconstructive-surgery/hysterectomy-uterine-prolapse.html

  A hysterectomy for uterine prolapse is frequently combined with prolapse repair of the bladder and/or bowel and sling procedures for urinary incontinence. […] A hysterectomy will leave a woman unable to carry a child, so this treatment is not recommended for anyone who wants to have children. However, it can be an effective treatment for relieving uterine prolapse symptoms troubling a woman.

• #35 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Surgery may be needed to repair uterine prolapse. Minimally invasive surgery, called laparoscopic surgery, or vaginal surgery might be an option. […] If you only have a uterine prolapse, surgery may involve: […] Taking out the uterus. This is called a hysterectomy. Hysterectomy may be recommended for uterine prolapse. […] A procedure that keeps the uterus in place. This is called a uterus-sparing procedure. These surgeries are for people who might want to have another pregnancy. There is less information on how effective these types of surgeries are. More study is needed. […] But if you have prolapse of other pelvic organs along with uterine prolapse, surgery may be a bit more involved. Along with a hysterectomy to take out the uterus, your surgeon may also: […] Use stitches to fix weak pelvic floor structures. This can be done in a way that keeps the depth and width of the vagina intact for sexual function.

• #36 Uterine Prolapse Treatment Without Hysterectomy – Urogynecology & Pelvic Health | UCLA Health

  https://www.uclahealth.org/medical-services/womens-pelvic-health/patient-education/uterine-prolapse-treatment-without-hysterectomy

  Can The Uterine Prolapse Be Treated Without Hysterectomy? […] A Resounding YES! Many gynecologists feel the best way to treat a falling uterus is to remove it, with a surgery called a hysterectomy, and then attach the apex of the vagina to healthy portions of the ligaments up inside the body. […] Some gynecologists have expressed the opinion that proper repair of the ligaments is all that is needed to correct uterine prolapse, and that the lengthier, more involved and riskier hysterectomy is not medically necessary. […] To that end, an operation has been recently developed that uses the laparoscope to repair those supporting ligaments and preserve the uterus. […] This procedure requires just a short hospital stay and quick recovery. […] A recent study from Australia found this operation, that they named laparoscopic suture hysteropexy, has excellent results.

• #37 Uterine Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/264231-treatment

  The synthetic polypropylene mesh has been shown to be superior to autologous fascia lata. […] The graft is peritonealized to prevent any bowel entrapment. […] Vaginal surgery is preferred in some cases when the patient desires to avoid any abdominal or laparoscopic incision, or if the patient has a history of complex abdominal surgeries. […] Uterine prolapse surgery generally involve a concomitant hysterectomy. However, for patients who desire to keep the uterus, or desire a future pregnancy, a uterine preservation surgery may be performed. […] Several studies have compared sacrospinous hysteropexy with vaginal hysterectomy and uterosacral vaginal vault suspension; success rates range from 79%-94% and from 96-97%, respectively. […] Vaginal mesh repairs have been advocated by some surgeons who sought to combine the minimally invasive nature of vaginal surgery with the potential durability provided by polypropylene mesh.

• #38 Uterine Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/264231-treatment

  The synthetic polypropylene mesh has been shown to be superior to autologous fascia lata. […] The graft is peritonealized to prevent any bowel entrapment. […] Vaginal surgery is preferred in some cases when the patient desires to avoid any abdominal or laparoscopic incision, or if the patient has a history of complex abdominal surgeries. […] Uterine prolapse surgery generally involve a concomitant hysterectomy. However, for patients who desire to keep the uterus, or desire a future pregnancy, a uterine preservation surgery may be performed. […] Several studies have compared sacrospinous hysteropexy with vaginal hysterectomy and uterosacral vaginal vault suspension; success rates range from 79%-94% and from 96-97%, respectively. […] Vaginal mesh repairs have been advocated by some surgeons who sought to combine the minimally invasive nature of vaginal surgery with the potential durability provided by polypropylene mesh.

• #39 Uterine Prolapse Treatment Without Hysterectomy – Urogynecology & Pelvic Health | UCLA Health

  https://www.uclahealth.org/medical-services/womens-pelvic-health/patient-education/uterine-prolapse-treatment-without-hysterectomy

  Can The Uterine Prolapse Be Treated Without Hysterectomy? […] A Resounding YES! Many gynecologists feel the best way to treat a falling uterus is to remove it, with a surgery called a hysterectomy, and then attach the apex of the vagina to healthy portions of the ligaments up inside the body. […] Some gynecologists have expressed the opinion that proper repair of the ligaments is all that is needed to correct uterine prolapse, and that the lengthier, more involved and riskier hysterectomy is not medically necessary. […] To that end, an operation has been recently developed that uses the laparoscope to repair those supporting ligaments and preserve the uterus. […] This procedure requires just a short hospital stay and quick recovery. […] A recent study from Australia found this operation, that they named laparoscopic suture hysteropexy, has excellent results.

• #40 Uterine Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/264231-treatment

  The synthetic polypropylene mesh has been shown to be superior to autologous fascia lata. […] The graft is peritonealized to prevent any bowel entrapment. […] Vaginal surgery is preferred in some cases when the patient desires to avoid any abdominal or laparoscopic incision, or if the patient has a history of complex abdominal surgeries. […] Uterine prolapse surgery generally involve a concomitant hysterectomy. However, for patients who desire to keep the uterus, or desire a future pregnancy, a uterine preservation surgery may be performed. […] Several studies have compared sacrospinous hysteropexy with vaginal hysterectomy and uterosacral vaginal vault suspension; success rates range from 79%-94% and from 96-97%, respectively. […] Vaginal mesh repairs have been advocated by some surgeons who sought to combine the minimally invasive nature of vaginal surgery with the potential durability provided by polypropylene mesh.

• #41 Uterine Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/264231-treatment

  Many different types of pessaries can be used, and pessary fitting is far from an exact science. […] The primary management strategy for severe UP is surgical. For patients in whom conservative management has failed, various surgical approaches are available to correct POP. […] Abdominal sacrocolpopexy procedure allows the upper vagina to regain its normal anatomic axis (sitting upon and parallel to the pelvic floor) by securing the polypropylene mesh applied to apical vagina/cervix or the uterus, to the sacrum with sutures through the presacral fascia at the promontory or at S1 or S2 if it is strong and free of vessels. […] Various grafts have been used for sacropexy procedures (eg, harvested fascia lata abdominal fascia, cadaveric fascia lata, Marlex, Prolene, Gore-Tex, Mersilene, Vipro-II) with variable success rates.

• #42 Uterine Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/264231-treatment

  Many different types of pessaries can be used, and pessary fitting is far from an exact science. […] The primary management strategy for severe UP is surgical. For patients in whom conservative management has failed, various surgical approaches are available to correct POP. […] Abdominal sacrocolpopexy procedure allows the upper vagina to regain its normal anatomic axis (sitting upon and parallel to the pelvic floor) by securing the polypropylene mesh applied to apical vagina/cervix or the uterus, to the sacrum with sutures through the presacral fascia at the promontory or at S1 or S2 if it is strong and free of vessels. […] Various grafts have been used for sacropexy procedures (eg, harvested fascia lata abdominal fascia, cadaveric fascia lata, Marlex, Prolene, Gore-Tex, Mersilene, Vipro-II) with variable success rates.

• #43

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #44 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What are the types of surgery for pelvic organ prolapse? In general, there are two types of surgery: 1) obliterative surgery and 2) reconstructive surgery. […] How does reconstructive surgery treat pelvic organ prolapse? The goal of reconstructive surgery is to restore organs to their original position. This is the most common type of pelvic organ prolapse surgery. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen or with laparoscopy. A surgical robot may be used to help with laparoscopy. […] What should I know about surgical mesh? Surgical mesh is used in some types of reconstructive surgery to reinforce or support prolapsed organs. Mesh can be made of animal material or from synthetic materials. There are risks and benefits to using mesh in POP surgery. Talk with your surgeon about the risks and benefits when deciding what type of reconstructive surgery to have.

• #45 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Close the opening of the vagina. This procedure is called a colpocleisis. It may allow for an easier recovery from surgery. This surgery is only an option for those who no longer want to use the vaginal canal for sexual activity. […] Place a piece of mesh to support vaginal tissues. In this procedure, vaginal tissues are suspended from the tail bone using a synthetic mesh material. […] All surgeries have risks. Risks of surgery for uterine prolapse include: […] Talk with your health care provider about all your treatment options to be sure you understand the risks and benefits of each. […] Depending on how severe uterine prolapse is, self-care measures might provide relief from symptoms. You might try to: […] Kegel exercises can strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. This might relieve symptoms that can happen with uterine prolapse.

• #46 Pelvic Organ Prolapse | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html

  Vaginal obliteration (colpocleisis) has the highest cure rate and lowest morbidity of any surgical intervention and is an excellent option for women who do not desire any future vaginal intercourse. […] For women who prefer to maintain coital function, reconstructive surgery should be performed and the vaginal apex can be suspended using the woman’s own tissues and sutures (native tissue repair), or mesh can be placed abdominally, to suspend the top of the vagina to the sacrum (sacrocolpopexy), or transvaginally (transvaginal mesh).

• #47 Pelvic Organ Prolapse | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html

  Vaginal obliteration (colpocleisis) has the highest cure rate and lowest morbidity of any surgical intervention and is an excellent option for women who do not desire any future vaginal intercourse. […] For women who prefer to maintain coital function, reconstructive surgery should be performed and the vaginal apex can be suspended using the woman’s own tissues and sutures (native tissue repair), or mesh can be placed abdominally, to suspend the top of the vagina to the sacrum (sacrocolpopexy), or transvaginally (transvaginal mesh).

• #48 Uterine Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/264231-treatment

  A Cochrane review compared traditional vaginal procedures (uterosacral vaginal suspension, sacrospinous suspension, iliococcygeus vaginal suspension) with sacrocolpopexy and vaginal mesh kits. […] For patients who cannot undergo long surgical procedures and who are not contemplating sexual activity, obliterative procedures, such as the Le Fort colpocleisis or colpectomy and colpocleisis, are viable options. […] The management of uterine prolapse may involve conservative versus surgical therapies.

• #49 Prolapse Surgery: Uterine, Vaginal, Bladder | University of Utah Health

  https://healthcare.utah.edu/womens-health/gynecology/surgery/prolapse

  Most people will be able to return to work between two and six weeks after surgery. […] The success of prolapse surgery depends on many different factors, including: how bad your prolapse is, what parts of your pelvic floor is affected, what type of surgery you get, and lifestyle or genetic factors that could increase the risk of another prolapse in the future. Studies show that about 80 percent of prolapse surgeries are still successful after 10 years. About 10 to 20 percent of women will have some movement or bulging again, but its usually not enough to need another surgery. Only about two to three percent of women will need a repeat prolapse surgery. […] Call 801-2132995 to request an appointment with one of our urogynecologists to discuss your prolapse and find out if prolapse surgery is the right option for you.

• #50 Uterine prolapse: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001508.htm

  Often, a vaginal hysterectomy can be done at the same time as the procedure to correct uterine prolapse. […] Most women with mild uterine prolapse do not have symptoms that require treatment. […] Vaginal pessaries can be effective for many women with uterine prolapse. […] Surgery often provides very good results. However, some women may need to have the treatment again in the future. […] Ulceration and infection of the cervix and vaginal walls may occur in severe cases of uterine prolapse. […] Contact your provider if you have symptoms of uterine prolapse. […] Tightening the pelvic floor muscles using Kegel exercises helps to strengthen the muscles and reduces the risk of developing uterine prolapse. Estrogen therapy after menopause may help with vaginal muscle tone.

• #51 Pelvic Organ Prolapse | Origin

  https://www.theoriginway.com/treatments/pelvic-organ-prolapse

  When your pelvic floor lacks the strength to fully support your vagina, uterus, bladder, and rectum, one or more of these organs can drop lower in the pelvis or prolapse. […] At Origin, weve helped hundreds of patients manage and treat prolapse. […] Partner with your PT to create a personalized treatment plan to strengthen your pelvic floor. Your plan may include: […] Physical therapy for 12-16 weeks can improve prolapse by 1 grade (with uterine prolapse, thats equal to the distance from the vaginal opening to halfway to the cervix). You may experience relief from discomfort even sooner. […] Prolapse is a common pelvic floor disorder and risk goes up with vaginal delivery, number of deliveries, and age. Physical therapy has been found to improve prolapse, without surgery. […] Depending on the severity of your prolapse, working with a physical therapist who specializes in the pelvic floor can lead to improved function and reduced symptoms within a few months. In other situations, use of a pessary may also be helpful in addressing symptoms. For the right candidate, surgery may be an appropriate option for care.

• #52 Uterine prolapse: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001508.htm

  Often, a vaginal hysterectomy can be done at the same time as the procedure to correct uterine prolapse. […] Most women with mild uterine prolapse do not have symptoms that require treatment. […] Vaginal pessaries can be effective for many women with uterine prolapse. […] Surgery often provides very good results. However, some women may need to have the treatment again in the future. […] Ulceration and infection of the cervix and vaginal walls may occur in severe cases of uterine prolapse. […] Contact your provider if you have symptoms of uterine prolapse. […] Tightening the pelvic floor muscles using Kegel exercises helps to strengthen the muscles and reduces the risk of developing uterine prolapse. Estrogen therapy after menopause may help with vaginal muscle tone.

• #53 Prolapse Surgery: Uterine, Vaginal, Bladder | University of Utah Health

  https://healthcare.utah.edu/womens-health/gynecology/surgery/prolapse

  Most people will be able to return to work between two and six weeks after surgery. […] The success of prolapse surgery depends on many different factors, including: how bad your prolapse is, what parts of your pelvic floor is affected, what type of surgery you get, and lifestyle or genetic factors that could increase the risk of another prolapse in the future. Studies show that about 80 percent of prolapse surgeries are still successful after 10 years. About 10 to 20 percent of women will have some movement or bulging again, but its usually not enough to need another surgery. Only about two to three percent of women will need a repeat prolapse surgery. […] Call 801-2132995 to request an appointment with one of our urogynecologists to discuss your prolapse and find out if prolapse surgery is the right option for you.

• #54 Uterine Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/264231-treatment

  Patients with mild uterine prolapse do not require therapy because they are usually asymptomatic. However, when symptoms occur, many patients initially opt for conservative treatment. Patients who are poor surgical candidates or are strongly disinclined to surgery can be offered pessaries for symptom relief. ACOG recommends that women be offered a vaginal pessary as a noninvasive alternative to surgery. […] Topical estrogen is an important adjunct in the conservative management of patients with UP. […] Pelvic exercises (Kegel exercises) and pessaries are the current mainstays of nonsurgical management of patients with UP. […] Vaginal support devices are excellent options for treating patients with UP conservatively, and pessary use has few contraindications aside from acute pelvic inflammatory disease and pain after insertion.

• #55 Prolapsed uterus: Stages, symptoms, and home remedies

  https://www.medicalnewstoday.com/articles/305971

  Prolapse up to the third degree may spontaneously resolve. More severe cases may require medical treatment. […] Options include vaginal pessary and surgery. […] This is a vaginal device that supports the uterus and keeps it in position. It is important to follow the instructions on care, removal, and insertion of the pessary. In cases of severe prolapse, a pessary can cause irritation, ulceration, and sexual problems. […] Talk with your doctor about if this treatment is right for you. […] Surgeons can repair a prolapsed uterus through the vagina or abdomen. It involves skin grafting or using donor tissue or other material to provide uterine suspension. […] In severe cases, doctors may recommend a hysterectomy. This procedure removes the uterus and, often, other parts of the reproductive system. […] Noninvasive treatments, including exercises, may help the prolapse resolve. A vaginal pessary may be necessary to support the organs, too. Surgery is often reserved for the most severe cases. However, it is highly successful.

• #56 Prolapsed uterus: Stages, symptoms, and home remedies

  https://www.medicalnewstoday.com/articles/305971

  Prolapse up to the third degree may spontaneously resolve. More severe cases may require medical treatment. […] Options include vaginal pessary and surgery. […] This is a vaginal device that supports the uterus and keeps it in position. It is important to follow the instructions on care, removal, and insertion of the pessary. In cases of severe prolapse, a pessary can cause irritation, ulceration, and sexual problems. […] Talk with your doctor about if this treatment is right for you. […] Surgeons can repair a prolapsed uterus through the vagina or abdomen. It involves skin grafting or using donor tissue or other material to provide uterine suspension. […] In severe cases, doctors may recommend a hysterectomy. This procedure removes the uterus and, often, other parts of the reproductive system. […] Noninvasive treatments, including exercises, may help the prolapse resolve. A vaginal pessary may be necessary to support the organs, too. Surgery is often reserved for the most severe cases. However, it is highly successful.

• #57 Uterine prolapse – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-gb/659

  Uterine prolapse is caused by the loss of anatomical support for the uterus. […] Conservative management encompasses observation, physiotherapy, and use of pessaries. […] Surgical intervention is by either a vaginal or an abdominal approach. […] Vaginal bleeding, abnormal discharge, dyspareunia, urinary retention, and pelvic pain are possible complications of therapy.

• #58 Uterine prolapse – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-gb/659

  Uterine prolapse is caused by the loss of anatomical support for the uterus. […] Conservative management encompasses observation, physiotherapy, and use of pessaries. […] Surgical intervention is by either a vaginal or an abdominal approach. […] Vaginal bleeding, abnormal discharge, dyspareunia, urinary retention, and pelvic pain are possible complications of therapy.

• #59 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Surgery may be needed to repair uterine prolapse. Minimally invasive surgery, called laparoscopic surgery, or vaginal surgery might be an option. […] If you only have a uterine prolapse, surgery may involve: […] Taking out the uterus. This is called a hysterectomy. Hysterectomy may be recommended for uterine prolapse. […] A procedure that keeps the uterus in place. This is called a uterus-sparing procedure. These surgeries are for people who might want to have another pregnancy. There is less information on how effective these types of surgeries are. More study is needed. […] But if you have prolapse of other pelvic organs along with uterine prolapse, surgery may be a bit more involved. Along with a hysterectomy to take out the uterus, your surgeon may also: […] Use stitches to fix weak pelvic floor structures. This can be done in a way that keeps the depth and width of the vagina intact for sexual function.

• #60

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #61

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #62

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #63

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #64

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #65

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #66

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #67

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #68 Surgical treatment options for pelvic organ prolapse

  https://www.urineincontinence.com.au/prolapse/surgical-treatment-options-pelvic-organ-prolapse

  Potential complications related to use of permanent (non-absorbable) synthetic mesh in prolapse repair include: […] There are many controversies related to the usage of mesh in prolapse repairs that result in different opinions about which women are candidates for mesh repairs and which types of prolapse mesh should be used.

• #69 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  Will I need a hysterectomy? Before choosing a surgery type, talk with your health care professional about whether a hysterectomy is recommended. There can be benefits to keeping your uterus, including shorter surgery. But your health care professional may recommend hysterectomy if you have a condition like abnormal bleeding or a family history of cancer of the uterus or cervix. […] What is involved in recovery after surgery to treat pelvic organ prolapse? Recovery time varies depending on the type of surgery. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting, and straining. You should also avoid sex for several weeks after surgery. It is not known whether anything can be done to keep prolapse from coming back after surgery. Avoiding activities that increase pressure inside the abdomen may be helpful, such as managing your weight, avoiding constipation, and not lifting heavy objects. If you have new symptoms, let your health care professional know.

• #70 Pelvic Organ Prolapse Surgery: What to Expect

  https://www.femalepelvicsolutions.com/prolapse/how-surgical-options-for-prolapse-work/

  Yes, pelvic organ prolapse can be treated successfully. […] There are many different treatment options available for pelvic organ prolapse. It is important to discuss your individual situation with a pelvic floor specialist who will discuss what options may be appropriate for your specific situation. […] There are both non-surgical and surgical treatment options. The non-surgical options may include lifestyle changes, Kegel exercises, or vaginal pessaries (a removable device). […] Every patient’s recovery time is different. It is generally recommended that physical strain, sexual intercourse and heavy lifting should be avoided for six weeks after surgery, but the patient may resume other normal activities after two weeks or at the surgeon’s discretion. However, each patient and surgery is different. Your doctor will be able to provide you with your own individual recovery plan.

• #71 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  Will I need a hysterectomy? Before choosing a surgery type, talk with your health care professional about whether a hysterectomy is recommended. There can be benefits to keeping your uterus, including shorter surgery. But your health care professional may recommend hysterectomy if you have a condition like abnormal bleeding or a family history of cancer of the uterus or cervix. […] What is involved in recovery after surgery to treat pelvic organ prolapse? Recovery time varies depending on the type of surgery. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting, and straining. You should also avoid sex for several weeks after surgery. It is not known whether anything can be done to keep prolapse from coming back after surgery. Avoiding activities that increase pressure inside the abdomen may be helpful, such as managing your weight, avoiding constipation, and not lifting heavy objects. If you have new symptoms, let your health care professional know.

• #72 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  Will I need a hysterectomy? Before choosing a surgery type, talk with your health care professional about whether a hysterectomy is recommended. There can be benefits to keeping your uterus, including shorter surgery. But your health care professional may recommend hysterectomy if you have a condition like abnormal bleeding or a family history of cancer of the uterus or cervix. […] What is involved in recovery after surgery to treat pelvic organ prolapse? Recovery time varies depending on the type of surgery. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting, and straining. You should also avoid sex for several weeks after surgery. It is not known whether anything can be done to keep prolapse from coming back after surgery. Avoiding activities that increase pressure inside the abdomen may be helpful, such as managing your weight, avoiding constipation, and not lifting heavy objects. If you have new symptoms, let your health care professional know.

• #73 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  Will I need a hysterectomy? Before choosing a surgery type, talk with your health care professional about whether a hysterectomy is recommended. There can be benefits to keeping your uterus, including shorter surgery. But your health care professional may recommend hysterectomy if you have a condition like abnormal bleeding or a family history of cancer of the uterus or cervix. […] What is involved in recovery after surgery to treat pelvic organ prolapse? Recovery time varies depending on the type of surgery. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting, and straining. You should also avoid sex for several weeks after surgery. It is not known whether anything can be done to keep prolapse from coming back after surgery. Avoiding activities that increase pressure inside the abdomen may be helpful, such as managing your weight, avoiding constipation, and not lifting heavy objects. If you have new symptoms, let your health care professional know.

• #74 Uterine Prolapse: Stages, Causes, Symptoms, and Treatment,

  https://www.webmd.com/women/prolapsed-uterus

  If other treatments aren’t enough, you might consider surgery to fix or remove your uterus. The surgical options include: […] Hysterectomy, which is surgery to remove your uterus. […] In this surgery, your uterus is put back in position. […] Sometimes, surgeons perform added procedures if you have prolapse of the vaginal walls, urethra, bladder, or rectum, along with a sagging uterus. […] You can’t put your uterus back in place yourself. Only a surgeon can do that. […] Follow-up depends on how your condition was treated. […] If you had surgery, follow your surgeon’s instructions and keep follow-up appointments. […] If you have a pessary inserted in your vagina, follow instructions for cleaning and return visits. […] If you are doing Kegel exercises, expect regular follow-up visits so that your health care provider can check the progress of your muscle strength. […] Treatment for uterine prolapse is usually successful.

• #75 Uterine Prolapse: Stages, Causes, Symptoms, and Treatment,

  https://www.webmd.com/women/prolapsed-uterus

  If other treatments aren’t enough, you might consider surgery to fix or remove your uterus. The surgical options include: […] Hysterectomy, which is surgery to remove your uterus. […] In this surgery, your uterus is put back in position. […] Sometimes, surgeons perform added procedures if you have prolapse of the vaginal walls, urethra, bladder, or rectum, along with a sagging uterus. […] You can’t put your uterus back in place yourself. Only a surgeon can do that. […] Follow-up depends on how your condition was treated. […] If you had surgery, follow your surgeon’s instructions and keep follow-up appointments. […] If you have a pessary inserted in your vagina, follow instructions for cleaning and return visits. […] If you are doing Kegel exercises, expect regular follow-up visits so that your health care provider can check the progress of your muscle strength. […] Treatment for uterine prolapse is usually successful.

• #76 Prolapse Surgery: Uterine, Vaginal, Bladder | University of Utah Health

  https://healthcare.utah.edu/womens-health/gynecology/surgery/prolapse

  Most people will be able to return to work between two and six weeks after surgery. […] The success of prolapse surgery depends on many different factors, including: how bad your prolapse is, what parts of your pelvic floor is affected, what type of surgery you get, and lifestyle or genetic factors that could increase the risk of another prolapse in the future. Studies show that about 80 percent of prolapse surgeries are still successful after 10 years. About 10 to 20 percent of women will have some movement or bulging again, but its usually not enough to need another surgery. Only about two to three percent of women will need a repeat prolapse surgery. […] Call 801-2132995 to request an appointment with one of our urogynecologists to discuss your prolapse and find out if prolapse surgery is the right option for you.

• #77 Pelvic Organ Prolapse Surgery: What to Expect

  https://www.femalepelvicsolutions.com/prolapse/how-surgical-options-for-prolapse-work/

  Yes, pelvic organ prolapse can be treated successfully. […] There are many different treatment options available for pelvic organ prolapse. It is important to discuss your individual situation with a pelvic floor specialist who will discuss what options may be appropriate for your specific situation. […] There are both non-surgical and surgical treatment options. The non-surgical options may include lifestyle changes, Kegel exercises, or vaginal pessaries (a removable device). […] Every patient’s recovery time is different. It is generally recommended that physical strain, sexual intercourse and heavy lifting should be avoided for six weeks after surgery, but the patient may resume other normal activities after two weeks or at the surgeon’s discretion. However, each patient and surgery is different. Your doctor will be able to provide you with your own individual recovery plan.

• #78 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  Will I need a hysterectomy? Before choosing a surgery type, talk with your health care professional about whether a hysterectomy is recommended. There can be benefits to keeping your uterus, including shorter surgery. But your health care professional may recommend hysterectomy if you have a condition like abnormal bleeding or a family history of cancer of the uterus or cervix. […] What is involved in recovery after surgery to treat pelvic organ prolapse? Recovery time varies depending on the type of surgery. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting, and straining. You should also avoid sex for several weeks after surgery. It is not known whether anything can be done to keep prolapse from coming back after surgery. Avoiding activities that increase pressure inside the abdomen may be helpful, such as managing your weight, avoiding constipation, and not lifting heavy objects. If you have new symptoms, let your health care professional know.

• #79 Treatment of uterine prolapse stage 2 or higher: a randomized multicenter trial comparing sacrospinous fixation with vaginal hysterectomy (SAVE U trial)

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3045971/

  The objective of this study is to compare sacrospinous fixation with vaginal hysterectomy in the treatment of uterine prolapse POP-Q stage 2 or higher in terms of recurrence of prolapse, quality of life, complications, post-operative recovery, hospital stay and sexual functioning. […] Our hypothesis for this study is that there is no difference in recurrence rate between sacrospinous fixation and vaginal hysterectomy in symptomatic women with uterine decent POP-Q stage 2 or higher. However, sacrospinous fixation may be associated with shorter hospital stay, more quick recovery and less postoperative pain. […] This is a protocol for a randomised trial comparing sacrospinous fixation and vaginal hysterectomy for the treatment of uterine prolapse POP-Q stage 2 or higher with regard to anatomical outcome, post-operative recovery, length of hospital stay, complications and sexual functioning.

• #80 Learn About the Noninvasive Treatment Options For Uterine Prolapse: Darin Swainston, MD, FACOG: OB/GYNs

  https://www.lasvegasgynsurgery.com/blog/learn-about-the-noninvasive-treatment-options-for-uterine-prolapse

  A vaginal pessary is a silicone or rubber device that you insert into your vagina. It remains there and supports the bulging tissue from your uterus. […] If you have a more severe form of uterine prolapse, a surgical procedure may be necessary to eliminate symptoms and the chronic discomfort associated with a uterus thats slipped out of place. […] As a robotic gynecological surgeon specializing in minimally invasive procedures, Dr. Swainston offers robot-assisted surgery for women with uterine prolapse. […] Ideally, if you can manage uterine prolapse through noninvasive treatment options, you may be able to avoid surgery. But if surgical treatment is inevitable, robot-assisted is your best bet.

• #81 Uterine Prolapse: Background, History of the Procedure, Problem

  https://emedicine.medscape.com/article/797295-treatment

  The primary management of severe UP is surgical. For patients in whom conservative management has failed, a variety of surgical approaches to correct POP are available. […] When planning the appropriate approach, the surgeon must consider operative risk, coital activity, and vaginal canal anatomy. The following list illustrates variables that must be considered. […] Note the following: Medical condition and age, Severity of symptoms, Patient’s choice (ie, surgery or no surgery), Patient’s suitability for surgery, Presence of other pelvic conditions requiring simultaneous treatment, including urinary or fecal incontinence, Presence or absence of urethral hypermobility, Presence or absence of pelvic floor neuropathy, History of previous pelvic surgery.

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