Minimally Invasive Repairs of Pelvic Organ Prolapse

Normal female anatomy.

Normal female anatomy.

Pelvis organ prolapse is a condition where the pelvic floor is unable to support the bladder, uterus and/or bowel. When this occurs, these structures may herniate into the vagina, at times extending out of the vagina. Often the bladder will descend and can herniate. This condition is called cystocele.

Portions of the bowel can also herniate, (a rectocele or enterocele). This can be associated with prolapse of the uterus. Prolapse can often be debilitating, causing significant discomfort and problems with urinating, bowel movements, and/or activity. Pelvic organ prolapse can be treated with minimally invasive procedures. These include out patient surgery. These repairs can be performed without the need for abdominal incisions. These repairs can be preformed by sewing together the vaginal support tissues or by placing a mesh. Traditional procedures without mesh have historically a 50-70% success rate. Mesh repairs of prolapse often demonstrate equivalent or better success rates.

The use of mesh has been associated with higher incidence of complication. However mesh continues to provide an excellent option for durable prolapse repair, particularly when placed by experienced surgeons. Most prolapse repairs can be preformed in the outpatient setting; post operative requirements for pain medication are very low and overall satisfaction is high. Pelvic organ prolapse repair can restore freedom and confidence for many women.