Surgical Treatments for Pelvic Organ Prolapse

At Atlantic Health System’s Division of Urogynecology and Pelvic Reconstructive Surgery, we provide surgical treatments options to correct pelvic organ prolapse, including:

• Anterior colporrhaphy - A vaginal procedure to reestablish the supports between the bladder and vagina to fix a cystocele. A synthetic mesh or organic graft material made be placed to reinforce this repair.
• Paravaginal repair (vaginal or abdominal approach) - Support the vaginal wall by attaching it to the pelvic sidewall to fix a cystocele. A synthetic mesh or organic graft material may be placed to reinforce this repair.
• Posterior colporrhaphy - A vaginal procedure to reestablish the supports between the vagina and rectum to fix a rectocele; a synthetic mesh or organic graft material may be placed to reinforce this repair.
• Transvaginal enterocele repair - Close the space between the vagina and rectum through a vaginal incision to prevent the small bowel from pushing the vagina out. This procedure will also resuspend the top of the vagina.
• Total abdominal hysterectomy (with or without bilateral salpingo/oophorectomy)- Remove the uterus (including the cervix), tubes and ovaries through an abdominal incision.
• Total laparoscopic hysterectomy - Removal of the uterus (including the cervix), and possibly the tubes and ovaries through a laparoscopic approach.
• Total vaginal hysterectomy (with or without bilateral salpingo/oophorectomy) - Remove the uterus (including the cervix), tubes and ovaries through a vaginal incision.
• Bilateral salpingo/oophorectomy - Removal of tubes and ovaries; performed either abdominally, vaginally or laparoscopically.
• Uterosacral ligament suspension - Suspend the top of the vagina to the uterosacral ligaments; this can be performed vaginally, abdominally or laparoscopically
• Sacrospinous vaginal vault suspension - A vaginal procedure that attaches the top of the prolapsed vagina to a ligament in the pelvis.
• Sacral colpopexy - A procedure, performed abdominally or laparoscopically, that attaches the top of the prolapsed vagina to the sacrum using either synthetic mesh or cadaveric material.
• Iliococcygeal fascial attachment - A vaginal procedure that attaches the top of the prolapsed vagina to pararectal supportive tissue.
• Supracervical hysterectomy - Removal of most of the uterus, leaving the cervix behind; this approach can be done abdominally or laparoscopically
• Total colpectomy - Complete closure of the vagina to correct prolapse. This procedure is only performed when the patient is absolutely sure that she will never want to have intercourse again.
• Total colpocleisis - Closure of the vagina, similar to colpectomy, while leaving channels at the side for drainage from the uterus (which is not removed).
• Overlapping anal sphincteroplasty - Reattach divided muscle edges around anus to correct fecal incontinence.