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Pelvic Organ Prolapse Treatments

At UVA, we first try non-surgical treatments to correct your prolapse. If your problem persists, we'll try surgical treatment.

Non-Surgical Treatments

Your doctor may suggest you:

  • Avoid standing for long periods of time.
  • Avoid heavy lifting.
  • Keep your bowel movements soft using a high fiber diet.
  • Use pessaries, a small device made of plastic or silicone that is placed inside the vagina to hold the uterus or the walls of the vagina up and inside of your body. 
  • Perform pelvic floor muscle training (Kegels) to help with pelvic support. 

There are many different types of surgeries to correct pelvic organ prolapse. Often, more than one of these surgeries will be performed at the same time.

Vaginal Surgeries

In general, vaginal approach surgeries have a faster recovery time and cause less pain than abdominal surgeries.

Hysterectomy

Abdominal Surgeries

Uterosacral ligament suspension

In general, abdominal approach surgeries have a longer recovery time and cause more discomfort than vaginal surgeries.

  • Hysteropexy (uterine sparing)  Your doctor makes incision on your abdomen and supports the uterus by stitching mesh to the front of the tailbone (sacrum). 
  • Supracervical hysterectomy with sacrocolpopexy — Your doctor makes an incision on your abdomen and removes the uterus. This is different from a total hysterectomy in that your doctor doesn't remove your cervix.
  • Abdominal sacrocolpopexy

Laparoscopic Reconstructive Surgery

Your doctor may perform an abdominal surgery laparoscopically, through several very small (1 cm) incision, with the use of a video camera. Abdominal sacrocolpopexy, paravaginal repair, and uterosacral ligament suspension can be done with the laparoscope. The recovery time is faster and postoperative pain is usually less than abdominal approach surgeries.

Robotic-Assisted Laparoscopic Surgery

A newer technology in laparoscopic surgery is robotically assisted laparoscopic surgery with the DaVinci robot. Your doctor may use this technique with an abdominal sacrocolpopexy. Similar to standard laparoscopy, this procedure requires a several very small (1 cm) incision and the use of a video camera. The advantage of this approach is faster healing time and shorter hospital stays than with a more traditional abdominal approach through a larger abdominal incision. 

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Call our Women's Center for Continence and Pelvic Surgery.

Make an Appointment

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