There are multiple options for treating pelvic prolapse surgically. Surgery for prolapse aims to restore areas where vaginal support tissue (think of it as scaffolding) is weakened or torn in some way. It is important to treat each of these support defects for optimal results. The list below includes some of the more common surgical procedures that might be offered in your care.
There are several key areas that might require repair:
- The anterior compartment: support tissue in the front of the vagina, which supports the bladder and urethra. This compartment is important for both urine storage and effective bladder emptying. Associated procedures could include:
- Anterior repair
- Midurethral sling
- Burch urethropexy, Marshall Marchetti urethropexy
- Fascial sling
- Urethral bulking
- The posterior compartment: support tissue in the back of the vagina, which supports the rectum and allows stool to pass smoothly. Associated procedures could include:
- Posterior repair
- Enterocele repair
- Anal sphincter repair
- The vaginal apex: “top” of the vagina where the cervix and uterus are attached. This keeps the vagina from falling out. It is the most important compartment to address surgically because it also strongly influences the support of the anterior and posterior compartments. Associated procedures could include:
- Sacrospinous ligament suspension
- Uterosacral ligament suspension
- The vaginal entrance: can cause problems if it is overly tight or overly relaxed. Associated procedures could include:
- Hymen revision
An important note about vaginal mesh: Garrison Women’s Health ONLY uses FDA-approved products involving mesh. You can read our response to the recent FDA announcement surrounding mesh here.
We want to always be able to offer the best procedures available to help our patients achieve their goals and live comfortably. If you have any questions or concerns around vaginal mesh and its approved uses, please do not hesitate to contact us and schedule an appointment with Dr. Chase, MD.