Uterine prolapse — surgery for pelvic organ support disorders

When is uterine prolapse surgery indicated?

When conservative treatment (pelvic floor muscle exercises, pessary therapy) does not bring the expected results, surgical treatment is the most effective way to restore normal anatomy and function and to improve quality of life.

At our practice at ul. Słowackiego 10 in Sopot we provide diagnosis and treatment of pelvic organ support disorders and urinary incontinence. In the practice we perform gynaecological examination and pelvic ultrasound.

Symptoms of pelvic floor support disorders

Vaginal symptoms

• a feeling of fullness in the perineum
• a feeling of bearing down
• a feeling of heaviness
• noticing “something” protruding from the vagina

Urinary symptoms

• urinary incontinence
• urinary urgency
• increased frequency of urination
• a feeling of incomplete bladder emptying
• the need to push the prolapse back manually in order to pass urine
• abnormal urine stream
• changing body position to start or finish passing urine

Sexual symptoms

• dyspareunia (painful intercourse)
• lowered self-esteem

Bowel symptoms

• incontinence of flatus (wind)
• faecal incontinence
• constipation
• a feeling of incomplete bowel emptying
• the need to strain hard to pass stools
• the need to push the prolapse back manually in order to complete defecation

How do we choose the type of surgery?

We tailor surgical treatment to each patient individually. The choice of method depends on the degree of prolapse, the patient’s age, her general health and her plans regarding a possible pregnancy.

• When there are no indications for removing the uterus, we perform uterus-preserving surgery.
• When there are indications for removing the uterus, we perform a hysterectomy with correction of the support disorder.

Within this group we perform vaginal repair operations and suspension procedures, i.e. uterine suspension.

Vaginal surgery and the VNOTES method

We operate via the vaginal route and using the VNOTES method, which combines the advantages of vaginal and laparoscopic surgery. This is the least invasive route, using a natural body opening, the vagina. Vaginal operations allow correction in several compartments at the same time.

In most cases the patient is discharged on the first day after surgery, and in some situations even on the same day.

Goals of surgical pelvic floor reconstruction

Anatomical goals

• restoring support of the anterior and posterior vaginal walls
• restoring normal vaginal length and axis
• restoring normal dimensions of the urogenital hiatus

Functional goals

• restoring normal bladder control
• restoring normal bowel function
• maintaining normal sexual function

Do you have indications for surgical treatment?

Operations are performed by Mateusz Świątkowski, specialist in obstetrics and gynaecology. We invite you to book an appointment by phone.