In severe cases of pelvic organ prolapse where other treatment methods have not alleviated the symptoms, surgery may be the treatment of choice. During this type of surgery, a surgeon repairs the weakened or damaged portion of the pelvic muscles and connective tissue and pushes the protruding organ back into place. In some cases the upper part of the vagina is surgically attached to a nearby bone for support. The surgeon may also make repairs to resolve urinary or bowel incontinence if that is an issue. The operation may be done through the vagina or an incision may be made in the abdominal wall. Because of the structures involved, surgery is usually only performed on women who are not planning to have more children.
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Dr Kevin Windom, MD, OBGYN (Obstetrics & Gynecology), answered
There are numerous surgeries for pelvic organ prolapse (POP). The most common surgery is an anterior and posterior repair. This is a procedure where the connective tissue is "bustled up" to help remedy the bulging of the bladder or the rectum into the vagina. In my opinion this is a poor procedure and it carries a high failure rate. I believe that the best treatment for pelvic organ prolapse (POP) is repairing the hernia or connective tissue defect and reinforcing this with some type of synthetic or biologic mesh. These surgeries can be performed abdominally, vaginally, or laparoscopically. It is important to talk to your doctor about his or her way of treating these problems and if you are not satisfied then seek a second opinion from someone who specializes in this type of surgery - a urogynecologist.