Pelvic Floor Reconstructive Surgery


Pelvic floor reconstructive surgery may be the right option for those with pelvic organ prolapse and other pelvic floor disorders that occur when an organ-such as your bladder-drops (prolapses) from its normal place in your lower abdomen and pushes against the walls of your vagina. This can happen to women who have had multiple pregnancies or given birth vaginally. Prolapse can also occur in women who have never given birth and also with men. Heavy lifting, coughing often, obesity, menopause, congenital abnormalities and previous pelvic surgery can also contribute to pelvic floor disorders.

Symptoms of pelvic floor disorders can easily be confused with stress and urge incontinence. It is important to talk with an experienced urologist who can diagnose your symptoms accurately by performing a pelvic exam and a urine culture. These symptoms include:

  • The need to urinate frequently or right away
  • Incontinence or urinary leakage
  • Not feeling empty immediately after urinating
  • Frequent urinary tract infections
  • Discomfort or pain in the vagina, pelvis, lower abdomen, groin or lower back
  • Painful intercourse
  • In severe cases, you may even see a bulging in the vaginal area

Surgical Treatment Options

Pelvic floor reconstructive surgery reconstructs the pelvic floor with the goal of restoring the organs to their original position. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen using minimally invasive surgical techniques.

Types of reconstructive surgery options may include the following:

  • Fixation or suspension using your own tissues.
  • Anterior and posterior colporrhaphy
  • Sacrocolpopexy and sacrohysteropexy
  • Surgery using vaginally placed mesh