Prolapse Repair

Pelvic organ prolapse occurs when one or more of the pelvic organs fall from their normal position and bulge into the vagina, such as the uterus, bowel, bladder or top of the vagina. A prolapse is a form of hernia in the vagina that is not life-threatening but can cause pain and discomfort.

What can cause prolapse?

Prolapse can result from a weakening of the supporting tissues and muscles of the pelvis. Factors that contribute to the weakening of these structures include:

• Pregnancy
• Vaginal childbirth
• Ageing
• Pelvic floor pressure from conditions such as chronic cough, chronic constipation, heavy lifting or straining, obesity, and abnormalities of the connective tissues

What are the symptoms of prolapse?

Less severe forms of prolapse may occur without any symptoms, but for the more severe cases, symptoms may include:

• Feelings of discomfort and pressure around the vaginal area
• A protruding vaginal lump
• Vaginal discharge and bleeding
• Difficulty passing urine
• Urinary incontinence
• Difficulties in emptying the bowel
• The need to press on the prolapse to help pass urine or bowel movements
• Problems with sexual intercourse

Treatment for prolapse

Dr Vlok will develop a personalised treatment plan after thoroughly evaluating the prolapse, the severity, symptoms and risks. Should you desire children in future or wish to retain your uterus, these factors will also be considered.

Not all instances of prolapse require treatment - some may only need regular monitoring and pelvic floor physiotherapy. However, laparoscopic, robotic or vaginal surgery may be required for prolapse repair in severe cases.

During your consultation, Dr Vlok will discuss all your options with you in detail to make an informed decision should you require surgery.