Surgical options for treating prolapse of the uterus (womb), including removal of the uterus (vaginal hysterectomy) or re-suspension the uterus.

When the uterus has prolapsed, we offer laparoscopic (keyhole) resuspension of the uterus as an alternative to the more widely available option of hysterectomy.

Vaginal Hysterectomy

Vaginal hysterectomy is an operation to remove a prolapsed uterus. The operation is carried out through the vagina; no incision is made on the abdomen. For many years, vaginal hysterectomy has been the traditional surgical treatment for a prolapsed uterus, although it may not prevent a further prolapse in the future, for example, prolapse of the top of the vagina (vaginal vault).

However, for patients experiencing problems such as heavy or irregular period, vaginal hysterectomy may be a better option.

Laparoscopic hysteropexy

(Laparoscopic re-suspension of the uterus)

Hysteropexy is a resuspension of the prolapsed uterus using a strip of synthetic mesh to lift the uterus and hold it in place. One end of the mesh is attached to the cervix and the other to a ligament near your backbone. Once in place, the mesh supports the uterus. It is performed through keyhole incisions (laparoscopy).

Hysteropexy restores the normal support of the vagina, suspending the uterus back in its anatomical position by reinforcing weakened ligaments with a mesh.

Each patient is able to discuss the available treatment options, when coming to see us in clinic, and can weigh the option of surgery for prolapse against the severity of her condition and other available treatments. There is more on these surgical treatments in the SURGERY section of this website.

External links

A prolapse of the uterus After vaginal hysterectomy After laparoscopic hysteropexy