Surgery for symptomatic uterine prolapse is offered if you wish to have surgery and conservative management has failed or is not desirable. We base the most appropriate surgical treatment on a number of factors including your age, previous surgical history, general health, and the severity and type of prolapse. Most surgical options are a form of reconstructive surgery whose aim is to restore your pelvic organs to their natural position while retaining sexual function. Some options involve removing the uterus, while others preserve it.
There are many different ways to accomplish the surgery including:
- Vaginal approach
- Abdominal approach (through an abdominal incision)
- Laparoscopic (keyhole)
The decision to perform a uterine prolapse surgery is made only after a thorough discussion with you. The choice of treatment depends on the nature and extent of the prolapse, as well as your personal circumstances.
The guidance leaflet from NICE provides more details of the different types of surgery for this condition and help you make a decision about the procedure that is right for you.