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Pelvic Organ Prolapse Surgery

Reconstructive procedures that restore vaginal apex, anterior, and posterior compartment support.

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 Üroloji department. Book Appointment →

What is Pelvic Organ Prolapse Surgery?

Pelvic organ prolapse (POP) results from weakness of the pelvic floor support structures, leading to descent of the bladder (cystocele), rectum (rectocele), uterus, or vaginal apex into or beyond the introitus. Surgery is offered when conservative measures (pessary, pelvic floor therapy) fail or in symptomatic stage 2-4 prolapse.

Apical compartment defects can be managed with abdominal or laparoscopic/robotic sacrocolpopexy using polypropylene mesh, sacrospinous ligament fixation, or uterosacral ligament suspension. Anterior and posterior repairs use native tissue plication; mesh use is restricted in some regulatory regions because of complication concerns.

Choice depends on patient age, sexual activity, prior surgery, comorbidities, and surgeon expertise. Concomitant anti-incontinence and hysterectomy decisions are individualized. Long-term outcomes are best when apical support is addressed; mesh-related complications include erosion, infection, and dyspareunia.

Symptoms

Vaginal bulge sensation
Pelvic pressure or heaviness
Stress or mixed urinary incontinence
Voiding dysfunction or splinting
Defecatory dysfunction
Sexual dysfunction or dyspareunia
Recurrent urinary tract infections

Risk Factors

Vaginal parity and birth trauma
Aging and menopause
Obesity
Chronic constipation and straining
Chronic cough and heavy lifting
Prior pelvic surgery (hysterectomy)
Connective tissue disorders

When to See a Doctor?

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

  • Bothersome bulge or pressure
  • Voiding or defecation difficulty
  • Urinary incontinence affecting life
  • Recurrent UTIs
  • Failed pessary or physiotherapy

Treatment Methods

01
POP-Q staging and urodynamic evaluation
02
Sacrocolpopexy (open, laparoscopic, robotic)
03
Sacrospinous or uterosacral ligament fixation
04
Anterior and posterior native-tissue repair
05
Concomitant anti-incontinence procedures
06
Pelvic floor rehabilitation in follow-up

Which Department to Visit?

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

Learn About Üroloji 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.