Specialized surgical care for pelvic organ prolapse
When pelvic floor weakness leads to prolapse of the bladder, uterus, or rectum, surgical repair can restore support, relieve symptoms, and significantly improve quality of life. At Prestige Medical Group, our FPMRS-trained urology team performs a full range of prolapse repair procedures — carefully matched to your anatomy, goals, and the specific organs involved.
Restoring support for descended pelvic organs
Pelvic organ prolapse (POP) occurs when pelvic organs — like the bladder, uterus, or rectum — bulge into the vaginal wall due to weakened or damaged pelvic floor muscles and tissues. Pelvic prolapse surgery is a category of procedures designed to repair and support the structures that have descended into the vaginal area.
There are several surgical approaches to treat pelvic organ prolapse. The choice of procedure depends on factors such as the severity of prolapse, the specific organs involved, your overall health, and your personal preferences. Your surgeon will discuss the best options for your specific situation.
Understanding pelvic prolapse surgery
Procedures we perform
Each approach is suited to specific kinds of prolapse and patient circumstances. Your surgeon will discuss which makes sense for you.
Anterior or Posterior Colporrhaphy
Surgical repair of the front (anterior) or back (posterior) vaginal wall where the bladder (cystocele) or rectum (rectocele) may protrude. One of the most common and well-established approaches to prolapse repair.
See Elevate Cystocele RepairVaginal Mesh Surgery
In some cases, surgeons use a synthetic mesh to provide additional support to weakened pelvic tissues. Mesh is used selectively and only when the benefits clearly outweigh the risks for your specific situation.
Selective UseSacrocolpopexy
A more complex procedure that uses mesh to attach the top of the vagina to a ligament near the tailbone (sacrum) or the lower spine. Often considered the gold standard for advanced apical (top-of-vagina) prolapse.
Hysterectomy
When the uterus is contributing to prolapse, removal of the uterus may be recommended as part of the treatment plan. Often combined with other repair procedures to address all involved structures.
Uterosacral Ligament Suspension
A native-tissue procedure that involves attaching the top of the vagina to ligaments in the pelvis for additional support. Often used when avoiding mesh is preferred or appropriate.
Mini Arc Suburethral Sling
Often performed at the same time as prolapse repair to treat or prevent stress urinary incontinence, which commonly co-occurs with pelvic organ prolapse.
See Mini Arc SlingAbout vaginal mesh
The use of vaginal mesh in pelvic floor surgery has been the subject of significant discussion and regulatory scrutiny due to reports of complications. As a result, mesh products are now used more selectively, and with greater oversight, than in the past.
At Prestige Medical Group, our FPMRS-trained team uses mesh products only when clinically appropriate, with full informed consent, and only after reviewing all alternative approaches. Your provider will discuss the benefits, risks, and alternatives in detail before any decision is made — so you can make an informed choice about your care.
Effective non-surgical options exist
Not all cases of pelvic organ prolapse require surgery. Conservative options can be highly effective — particularly for mild-to-moderate prolapse — and are often recommended as a first-line approach. Your provider will help you understand which path makes sense for your specific situation.
Pelvic Floor Physical Therapy
Specialized exercises and techniques to strengthen pelvic floor muscles and reduce symptoms
Pessary Devices
Supportive devices inserted into the vagina to hold pelvic organs in place without surgery
Lifestyle Modifications
Weight management, avoiding heavy lifting and straining, and addressing chronic constipation
Factors that shape your treatment plan
Severity of prolapse — mild, moderate, or severe; what’s bulging and how far
Specific organs involved — bladder, uterus, rectum, or a combination
Your overall health — current conditions, medications, and surgical fitness
Symptom severity — how much prolapse is impacting your quality of life
Your personal preferences — including views on mesh, recovery time, and reversibility
Co-occurring conditions — like urinary incontinence that may need to be addressed at the same time
FPMRS-trained surgical expertise
Dr. Lamia Gabal is a board-certified urologist with FPMRS (Female Pelvic Medicine & Reconstructive Surgery) subspecialty training — the recognized credential for advanced expertise in surgical treatment of pelvic floor disorders. Our team is committed to thorough evaluation, honest conversation about all your options, and personalized surgical planning that respects your goals and preferences.
Let’s talk about your options
Pelvic organ prolapse is a treatable condition — and you have more options than you may realize. Schedule a consultation with our FPMRS-trained team to discuss what’s right for you, with no pressure and complete discretion.