Uterine & Pelvic Organ Prolapse Treatment in Jaipur
Pelvic organ prolapse happens when the muscles and ligaments of the pelvic floor weaken and the uterus, bladder or rectum drops into the vagina. It is very common after childbirth and around menopause, and many women live with it for years because they assume nothing can be done. It can. Treatment ranges from pelvic floor exercises and a vaginal pessary to surgical repair, and the right option depends on how severe the prolapse is, your age, and whether you plan further pregnancies.
Signs of a prolapse
- A feeling of heaviness, dragging or fullness in the vagina, often worse by the end of the day or after standing for a long time.
- A bulge or lump you can feel or see at the vaginal opening.
- Leaking urine when you cough, sneeze or lift, needing to pass urine often, or a feeling that the bladder does not empty fully.
- Difficulty opening the bowels, or needing to press on the vagina to do so.
- Discomfort during intercourse, or lower back ache that eases when you lie down.
Why it happens
- Vaginal childbirth, especially several deliveries, large babies or long labours, stretches and can damage the pelvic floor.
- Falling oestrogen after menopause weakens pelvic tissues further.
- Long-term pressure on the pelvic floor from chronic cough, constipation, heavy lifting or excess weight.
- A previous hysterectomy, and inherited connective-tissue weakness in some women.
How it is assessed
- A pelvic examination, sometimes while you bear down, shows which organ has dropped and by how much. Prolapse is graded from mild to complete.
- Bladder symptoms are assessed carefully, because repairing a prolapse can unmask or relieve urinary leakage.
- An ultrasound is arranged where needed to look at the uterus and ovaries before any surgery is planned.
Treatment options
- Mild prolapse often improves with supervised pelvic floor muscle training, treating constipation or cough, and weight management.
- A vaginal pessary — a soft silicone ring fitted inside the vagina — supports the organs without surgery and suits women who want to avoid or delay an operation.
- Vaginal repair tightens and supports the front or back wall of the vagina through the vagina itself, with no abdominal cuts.
- Laparoscopic repair, including uterus-preserving suspension, lifts and fixes the uterus or vaginal vault through keyhole incisions, with a short hospital stay.
- Vaginal hysterectomy with repair is considered for significant uterine prolapse in women who have completed their family.
Recovery after prolapse surgery
- Most women go home within one to two days.
- Avoid heavy lifting, straining and intercourse for about six weeks while the repair heals.
- Continuing pelvic floor exercises and avoiding constipation afterwards reduces the chance of the prolapse returning.
Uterine & Pelvic Organ Prolapse — frequently asked questions
Can a prolapsed uterus go back to normal without surgery?
A mild prolapse can improve, and symptoms often settle, with pelvic floor exercises and treating causes such as constipation or chronic cough. A moderate or severe prolapse does not reverse on its own, but a pessary can control it well without surgery.
Will I need a hysterectomy for uterine prolapse?
Not necessarily. Uterus-preserving repairs, including laparoscopic suspension, are options for many women, particularly those who are younger or want to keep the uterus. A hysterectomy is discussed only where it is clearly the better choice.
Is prolapse surgery safe after menopause?
Yes. Prolapse is most common after menopause and surgery is routinely and safely performed in older women after a fitness assessment. Vaginal oestrogen is sometimes used beforehand to improve tissue quality.
