Uterine Prolapse Surgeries

Different surgical methods may be applied depending on the severity of uterine prolapse and the patient’s overall health condition:

1. Vaginal Hysterectomy

• One of the most common treatment methods.
• The uterus is completely removed, permanently resolving the prolapse problem.
• Preferred especially for women who have completed childbearing or are postmenopausal.
• Can be performed with open or minimally invasive techniques, with a typical recovery period of 4–6 weeks.

2. Sacrocolpopexy (Abdominal Mesh Suspension Surgery)

• Suitable for patients who wish to preserve the uterus.
• Can be performed laparoscopically or via open surgery.
• The uterus is elevated back to its normal position by attaching it to connective tissues using a synthetic mesh.
• A good option for younger, active women.

3. Sacrospinous Ligament Fixation

• A procedure that secures the uterus or the vaginal apex to pelvic ligaments.
• Performed vaginally, often in combination with hysterectomy.
• Recovery time is short, and most patients return to daily activities within a few weeks.

4. Manchester Operation

• A uterus-preserving surgery.
• The cervix (uterine neck) is shortened and supporting ligaments are reinforced.
• May be suitable for patients who still wish to have children.

Post-Surgery Recovery

• Mild pain and vaginal discharge are normal.
• Avoid heavy lifting, strenuous exercise, and constipation.
• Kegel exercises to strengthen pelvic floor muscles are recommended.
• Medical follow-up is necessary to monitor for risks such as infection or bleeding.

Conclusion

Uterine prolapse is a treatable condition that can significantly affect a woman’s quality of life. The decision for surgery should be made by the doctor based on the patient’s age, lifestyle, and severity of the prolapse. Surgical methods that preserve or remove the uterus may be chosen depending on the patient’s preferences. If the prolapse is mild, non-surgical treatments may also be considered.