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Treatments

There are many treatments for prolapse, including a range of conservative and surgical options.

Conservative options

  • Pelvic floor or Kegel exercises
  • A pessary

While these techniques can be very helpful for many women, surgery may be the best option in some cases.

Surgical options

There are many types of surgeries to correct the various types of prolapses. Many of these operations can be accomplished vaginally or with a small incision in the lower abdomen.

Types of prolapse surgeries

  • Anterior repair (colporrhaphy): For women who have cystoceles (hernias in which the bladder protrudes into the vagina). The urogynecologist will repair the weakened muscle with stitches and remove any vaginal tissue that has been stretched.
  • Posterior repair: For women who have rectoceles (hernias in which the rectum is protruding into the vagina).
  • Mesh sacral colpopexy: The urogynecologist stitches a synthetic mesh between the tailbone (sacrum) and the vagina. It can be performed either laparoscopically (using minimally invasive instruments) or as an open abdominal procedure.
  • Paravaginal repair: Repair of a cystoceles with correction of the support problems at the sides of the vagina. This procedure may also be done using either an open or laparoscopic surgery approach.
  • Uterosacral ligament suspension: Repair of the top of the vagina using stitches to the original uterine support tissue. This procedure can be done using an open, laparoscopic, or vaginal approach.
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