Uterine Prolapse Surgery
Uterine Prolapse Surgery is a surgical treatment method applied when the uterus and surrounding tissues sag towards the inside of the vagina. Uterine prolapse occurs due to the weakening of the muscles and ligaments supporting the pelvic floor. This condition is especially common in women who have given birth, are postmenopausal, or work in heavy physical jobs. The aim of the surgery is to restore the uterus to its normal anatomical position or, if necessary, to remove it (hysterectomy) and reconstruct pelvic support. ⚕️
What is Uterine Prolapse?
Uterine prolapse is a condition where the uterus descends from its normal position in the pelvic floor. This develops due to the weakening of the pelvic floor muscles, connective tissue, or fascia structure. In mild prolapse, there is only a feeling of fullness at the entrance of the vagina, while in advanced stages, the uterus may completely protrude outside the vagina. 🌿
How is Uterine Prolapse Surgery Performed?
Uterine prolapse surgery is planned according to the degree of prolapse, the patient’s age, desire for fertility, and general health condition. Today, open, vaginal, and laparoscopic (closed) surgical methods are used. The surgeon strengthens the tissues supporting the pelvic floor, repositions the uterus if necessary, or performs a hysterectomy. The surgery is performed under general or spinal anesthesia and usually requires a 1–2 day hospital stay. 🤺
Stages of Uterine Prolapse
The severity of prolapse is evaluated in 4 stages:
• Stage 1: The uterus has slightly descended.
• Stage 2: The uterus has sagged to the vaginal entrance.
• Stage 3: The uterus has protruded outside the vagina.
• Stage 4: The uterus is completely outside (total prolapse).
Surgery is usually decided for patients at Stage 2 and above. 📋
Vaginal Route Uterine Prolapse Surgery
Vaginal hysterectomy (removal of the uterus through the vaginal route) is the most commonly preferred method, especially in women who do not desire fertility and have advanced prolapse. After the uterus is removed, the upper part of the vagina is supported by suturing it to the pelvic ligaments. This method provides advantages in terms of aesthetics and recovery as it does not require an abdominal incision. 🌸
Laparoscopic (Closed) Uterine Prolapse Surgery
Laparoscopic sacrocolpopexy or sacrohysteropexy is a closed surgical method where the uterus or vagina is suspended to the pelvic bones with special medical materials (mesh). This technique preserves the uterus without removal. It is preferred especially in young women with fertility potential. Since it is performed with small incisions, there is less pain and a shorter recovery period. 🌿
Open Uterine Prolapse Surgery
In large or recurrent prolapses, open surgical methods may be necessary. In this surgery, a horizontal incision is made in the lower abdomen and the uterus is suspended to the pelvic ligaments or the spine. With the development of closed methods today, open surgery is less preferred, but it is still a valid option in some advanced cases. ⚕️
Pelvic Floor Repair with Mesh
Sometimes special medical meshes are used to support the pelvic floor. These materials provide long-term stability for the uterus or vagina. Mesh use is frequently preferred, especially in laparoscopic surgeries. Modern medical meshes are biocompatible and minimize the risk of infection. 🤹
Post-Surgery Process for Uterine Prolapse
After surgery, a 1–2 day hospital stay is usually sufficient. Mild pain, fatigue, and vaginal discharge may be observed in the first weeks. Heavy lifting, constipation, and sexual intercourse should be avoided for the duration recommended by the doctor (usually 4–6 weeks). Complete recovery occurs within 6–8 weeks. 🤸♀️
Effect on Fertility and Sexual Life
In uterus-preserving surgeries, fertility is preserved and the patient can plan for pregnancy in the future. In cases where the uterus is removed, fertility ends, but the hormonal balance is not disrupted if the ovaries are preserved. Sexual life generally becomes more comfortable after surgery; pressure, pain, and discomfort caused by prolapse are eliminated. 💗
| Method | Application Route | Advantage |
|---|---|---|
| Vaginal Hysterectomy | Vaginal route | No incision, short recovery period |
| Laparoscopic Sacrohysteropexy | Closed (with camera) | Uterus preserved, aesthetic result |
| Open Sacrocolpopexy | With lower abdominal incision | Permanent solution in advanced cases |
| Mesh-Supported Repair | Laparoscopic or vaginal | Provides long-term tissue support |
Uterine Prolapse Surgery Prices
Uterine prolapse surgery prices vary depending on the surgical method used (vaginal, laparoscopic, open), the length of hospital stay, and the use of materials. A specific price is shared after a personalized evaluation. For detailed information and a personal treatment plan, please contact our clinic. 📞
Conclusion: Uterine prolapse is a condition that affects quality of life but can be permanently treated with modern surgical methods. Proper surgical planning restores pelvic floor support and provides both physical and psychological comfort. With an experienced surgeon and the right method, post-treatment life comfort can be fully regained. 💗
Frequently Asked Questions About Uterine Prolapse Surgery
Question: Can prolapse recur after uterine prolapse surgery?
In rare cases, it can, but with modern techniques, this rate is quite low. ✅
Question: How soon can one return to work after surgery?
Usually, one can return to work within 1–2 weeks after closed or vaginal surgery. 🌸
Question: Can prolapse be treated without removing the uterus?
Yes. Treatment is possible with methods like laparoscopic sacrohysteropexy, preserving the uterus. 🌿
Question: How is sexual life affected after surgery?
When uterine prolapse is corrected, vaginal pressure is eliminated, pain decreases, and sexual life generally becomes more comfortable. 💗
