🏥 Pelvic Organ Prolapse (POP) Surgeries Expertise of Dr. Yasir Iqbal

Pelvic Organ Prolapse (POP) occurs when one or more of the pelvic organs—such as the bladder, uterus, vagina, or rectum—drop from their normal position and bulge into the vaginal canal. This happens due to weakening or damage of the pelvic floor muscles and connective tissues, often after childbirth, menopause, or pelvic surgery.

POP surgeries aim to restore the normal position and function of these organs, relieving discomfort and improving quality of life.

📌 Symptoms of Pelvic Organ Prolapse:

• Feeling of pressure or heaviness in the pelvic area

• Bulge or protrusion from the vaginal opening

• Difficulty with urination or bowel movements

• Urinary incontinence or urgency

• Discomfort or pain during intercourse

• Lower back pain

🔍 Types of Pelvic Organ Prolapse

Depending on which organ is involved, prolapse may be:

• Cystocele (bladder prolapse)

• Rectocele (rectum prolapse)

• Uterine prolapse

• Enterocele (small intestine prolapse)

• Vaginal vault prolapse (after hysterectomy)

🔧 Types of POP Surgeries

1. Anterior Repair (Cystocele Repair)

• Repairs a prolapsed bladder

• Strengthens the front vaginal wall

2. Posterior Repair (Rectocele Repair)

• Corrects rectum prolapse into the vagina

• Reinforces the back vaginal wall

3. Uterine Suspension or Hysterectomy

• Uterine Suspension: Ligaments or mesh are used to lift and support the uterus

• Hysterectomy: Removal of the uterus (if severely prolapsed or if other uterine issues exist)

4. Vaginal Vault Suspension

• Restores support after hysterectomy

• Can be done through the vagina (sacrospinous fixation) or abdomen (sacrocolpopexy)

5. Sacrocolpopexy (with or without Mesh)

• Performed laparoscopically or robotically

• Uses a mesh to attach the top of the vagina to the sacrum (lower spine)

• Offers long-lasting support

6. Colpocleisis

• A vaginal closure surgery

• For women who no longer desire vaginal intercourse

• Effective and low-risk for frail or elderly patients

🕑 Recovery

• Hospital stay: 1–2 days (varies by procedure)

• Return to light activity: 1–2 weeks

• Full recovery: 4–6 weeks

• Avoid heavy lifting and intercourse until cleared by the surgeon

✅ Benefits of POP Surgery

• Relief from pelvic pressure and bulging

• Improved bladder and bowel function

• Enhanced sexual comfort (in applicable surgeries)

• Long-term pelvic support

⚠️ Potential Risks

• Bleeding, infection, or injury to nearby organs

• Recurrence of prolapse

• Pain or discomfort

• Mesh complications (if used)

• Urinary issues (retention, incontinence)

🧠 Summary

Pelvic Organ Prolapse surgeries are effective solutions for restoring pelvic support and improving daily function and comfort. A tailored surgical approach—chosen based on the type and severity of prolapse, patient’s age, and reproductive goals—can provide excellent long-term outcomes.