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Surgery for Advanced Uterine Prolapse

Stage III-IV prolapse treated with sacrocolpopexy, sacrospinous fixation, and combined approaches.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Surgery for Advanced Uterine Prolapse?

The POP-Q system grades uterine prolapse from stage 0 to IV. In stage III the most distal point lies 1 cm beyond the hymen; in stage IV there is total eversion. Neglected cases may develop decubitus ulceration, hydroureteronephrosis, and infection.

Surgical options include abdominal sacrocolpopexy (ASC), laparoscopic/robotic SC, transvaginal sacrospinous ligament fixation (SSLF), uterosacral ligament suspension (USLS), and obliterative colpocleisis.

Apical support repair is combined with anterior-posterior compartment repairs, midurethral sling, and hysterectomy when indicated. FDA warnings on mesh use and complications must be considered.

Symptoms

Vaginal bulge or protrusion sensation
Pelvic pressure and fullness
Vaginal bleeding from ulceration
Voiding difficulty and retention
Obstructed defecation
Stress urinary incontinence

Risk Factors

Advanced age
Multiparity
Vaginal delivery (especially breech or instrumental)
Menopause
Obesity
Chronic cough and constipation
Heavy lifting

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Vaginal bulge or protrusion
  • Pelvic pain or fullness
  • Voiding or defecation problems
  • Sexual dysfunction

Treatment Methods

01
Pelvic exam and POP-Q staging
02
Abdominal/laparoscopic sacrocolpopexy
03
Sacrospinous ligament fixation
04
Uterosacral ligament suspension
05
Colpocleisis (in elderly patients)
06
Combined anterior-posterior repair

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.