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Pelvic floor reconstruction refers to surgery that restores support to pelvic organs affected by prolapse. The repair may address the bladder, rectum, uterus, or top of the vagina, depending on which structures have descended. The specific operation is chosen according to the location of the prolapse and the person's treatment goals.
read more about pelvic floor reconstruction ...Surgery may be considered when prolapse causes bothersome pressure, a vaginal bulge, or problems with bladder or bowel function. A clinician examines which areas have lost support and discusses treatment options. Pelvic floor therapy or a pessary may be appropriate before or instead of surgery for some people.
A surgeon can repair weakened vaginal walls with stitches or suspend the top of the vagina to stronger supporting tissue. The procedure may be performed through the vagina or through abdominal incisions, depending on the repair. Some abdominal suspension procedures use surgical mesh, while other repairs use the patient's own tissue.
Recovery instructions depend on the operation and whether other procedures were performed. Patients may need to limit heavy lifting and allow repaired tissues to heal before resuming certain activities. Follow-up visits check healing and any remaining bladder, bowel, or pelvic symptoms.
Possible risks include bleeding, infection, injury to nearby organs, pain, and changes in bladder or bowel function. Prolapse can return after a repair or develop in another area. The benefits and risks of any proposed graft or mesh should be discussed for the specific procedure.
No. Some repairs preserve the uterus, while others are performed with a hysterectomy or after one. The choice depends on the prolapse and the patient's preferences.
No. Several repairs use the patient's own tissue and stitches. Mesh may be considered for certain abdominal procedures, with its specific risks reviewed beforehand.
Yes. A pessary is a removable device that supports prolapsed organs without an operation. A clinician can assess whether it fits the person's symptoms and goals.
Yes. A repaired area can weaken again, and prolapse can develop elsewhere. Follow-up is useful if bulging or other symptoms return.
Colporrhaphy: Purpose, Procedure, Results & Recovery. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/23324-colporrhaphy. Date Accessed September 30, 2026.
Cystocele. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases/cystocele. Date Accessed September 30, 2026.
Pelvic Floor Reconstruction. Baylor College of Medicine. https://www.bcm.edu/healthcare/specialties/obstetrics-and-gynecology/ob-gyn-procedures/pelvic-floor-reconstruction. Date Accessed September 30, 2026.
Pelvic Floor Reconstructive Surgery. UPMC. https://www.upmc.com/services/womens-health/services/obgyn/gynecology/urogynecology/reconstructive-surgery. Date Accessed September 30, 2026.
Surgery for Pelvic Organ Prolapse. American College of Obstetricians and Gynecologists. https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse. Date Accessed September 30, 2026.