UROLOGY · CONDITIONS
Pelvic Organ Prolapse
Descent of pelvic organs (bladder, uterus, or rectum) from their normal anatomical positions — a common but highly treatable pelvic floor disorder.
ABOUT THIS CONDITION
What is Pelvic Organ Prolapse?
Pelvic organ prolapse (POP) occurs when weakened pelvic floor support structures allow the bladder, uterus, or rectum to descend into or through the vagina. It affects a large proportion of women after childbirth and at menopause. Symptoms range from pelvic discomfort and a bulge to bladder, bowel, and sexual dysfunction. Dr. Vipin performs comprehensive multi-compartment assessment and plans the most appropriate repair — from conservative management with pessaries to laparoscopic or robotic sacrocolpopexy for durable correction of multi-compartment prolapse.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
- Vaginal deliveries — particularly large babies or prolonged labour
- Menopause and oestrogen deficiency
- Chronic straining from constipation
- Obesity increasing intra-abdominal pressure
- Connective tissue disorder weakening support
- Previous pelvic surgery — hysterectomy, bladder repair
CLINICAL DETAILS
KeyFacts
All three compartments staged using POP-Q. Multi-compartment prolapse is addressed simultaneously.
Ring, Gellhorn, or shelf pessary supports prolapse non-surgically in women who prefer to avoid surgery.
Anterior + posterior colporrhaphy addresses multi-compartment vaginal wall prolapse in a single operation.
Gold standard apical repair — mesh from vaginal apex to sacral promontory via laparoscopic or robotic approach.
Uterus-preserving mesh suspension — for women who do not wish hysterectomy.
Vaginal obliteration procedure for elderly women with severe prolapse who are no longer sexually active.
HOW WE TREAT IT
Treatment Approach
Laparoscopic / Robotic Sacrocolpopexy
Gold standard apical prolapse repair — Y-shaped mesh bridges the vaginal walls to the sacral promontory laparoscopically or robotically, providing durable multi-compartment support with very low long-term recurrence rates.
- 1
Multi-compartment Staging
POP-Q staging of all three compartments simultaneously. Dynamic MRI used for complex or recurrent cases. Urodynamics assesses coexisting incontinence.
- 2
Conservative Management
Pelvic floor exercises and pessary fitting offered as first-line for mild to moderate prolapse. Pessary review every 3–6 months.
- 3
Surgical Planning
Compartments involved determine the repair — anterior colporrhaphy, sacrocolpopexy, posterior repair, and incontinence surgery planned for combined approach.
- 4
Laparoscopic Sacrocolpopexy
Y-mesh attached to anterior and posterior vaginal walls and fixed to the sacral promontory laparoscopically — gold standard for apical prolapse with the lowest recurrence rates.
AVAILABLE TREATMENTS
Treatment Options
Anterior + Posterior Colporrhaphy
Combined anterior and posterior vaginal wall plication to repair multi-compartment cystocele and rectocele in one vaginal operation.
Open / Laparoscopic Sacrocolpopexy
Gold standard apical repair — Y-mesh from vaginal apex to sacrum. Laparoscopic approach offers equivalent results with faster recovery.
Robotic Sacrocolpopexy
Robot-assisted sacrocolpopexy for complex prolapse — superior 3D vision and dexterity for precise mesh suturing in the deep pelvis.
Sacrohysteropexy
Uterus-preserving mesh suspension of the cervix to the sacrum — for women desiring uterine conservation alongside prolapse repair.
Colpocleisis (Le Fort's)
Vaginal obliterative procedure for elderly women with severe prolapse — very low recurrence, avoids major surgery.
Sacrospinous Ligament Fixation
Vaginal vault sutured to the sacrospinous ligament — durable vaginal apical repair without laparotomy or mesh.
COMMON QUESTIONS
Frequently Asked
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