Specialized Management of Pelvic Organ Prolapse

Pelvic organ prolapse happens to many women. It is the shifting or dropping of organs, also called prolapse, from their normal position. Pelvic organ prolapse in women is most often caused by normal changes that occur with aging. It also may be caused by genetics, childbirth or can occur after surgery. If you notice issues such as pain or difficulty urinating, University Hospitals specialists can diagnose and treat pelvic organ prolapse symptoms associated with this condition.

The expert team at University Hospitals has specialized training in female pelvic medicine and reconstructive surgery. We offer a full range of treatment options, such as pelvic floor physical therapy, pelvic organ prolapse, pelvic pain and fecal or urinary incontinence.

Our pelvic physical therapists help patients improve function, independence and quality of life.

With fellowship-trained surgeons as a part of the multidisciplinary team, we can also surgically correct complex pelvic floor disorders.

Our medical and surgical expertise, combined with the latest technology, helps our specialists provide individualized pelvic organ prolapse treatment plans for improved outcomes.

A Patient-Centered Approach and Comprehensive Diagnostics for Female Pelvic Health

Our female pelvic medicine and surgery team offers innovative diagnostics for all pelvic organ prolapse stages. Because urinary incontinence is the most common issue with pelvic floor prolapse, we bring together a team to determine the cause of the issues through a complete patient history and exam.

With a personalized approach to care, we look at all available options — not just surgery. When pelvic organ prolapse results in stress incontinence or overactive bladder, treatment recommendations vary depending on the type of incontinence:

  • Stress incontinence: Urine leak when coughing or sneezing. Our team may recommend a pessary, which is placed in the vagina to give support, along with pelvic physical therapy or surgery
  • Overactive bladder: If you feel an urge to urinate multiple times during the day and night, you may have an overactive bladder. We recommend changing drinking habits, medications, bladder Botox injections, acupuncture or a bladder pacemaker that is surgically implanted.

Robotic Surgical Options for Pelvic Floor Muscle Disorders

Treatment options for pelvic floor disorder symptoms may be as simple as lifestyle changes and physical therapy, or as high-tech as medical devices or minimally invasive robotic surgery. Usually surgery is recommended after more conservative options have been unsuccessful.

If conservative therapies are not successful or women develop significant pelvic organ prolapse, our UH surgeons are highly experienced in transvaginal, open abdominal, laparoscopic and robotic-assisted surgeries for the treatment of pelvic organ prolapse and anomalies, including vesicovaginal fistulas.

We offer robotic-assisted procedures for hysterectomy to remove the uterus or provide reconstructive surgery to repair vaginal prolapse, called robotic-assisted sacrocolpopexy. We can also correct uterine prolapse following a hysterectomy, called sacral urethropexy.

Other surgical techniques include traditional laparoscopy and open surgery. These procedures provide relief for many women with pelvic prolapse and minimally invasive techniques provide improved recovery with less pain, less bleeding and faster recovery. Our team is also experienced and highly skilled in performing revisional surgery for women who had a previous pelvic floor surgery that may need additional support.

For More Information about Treatment of Pelvic Organ Prolapse at University Hospitals

If you have questions about treatment options for pelvic floor disorders or pelvic organ prolapse, schedule an appointment with a UH female pelvic health specialist.