Your treatment plan may include pelvic floor exercises. Your doctor also may insert a device called a pessary into your vagina to support organs such as the bladder or uterus.
Our specialists do not treat pelvic organ prolapse with synthetic mesh in the vagina. We follow recommendations by The American College of Obstetricians and Gynecologists and the American Urogynecologic Society to reserve the use of synthetic mesh for high-risk women for whom the benefit may justify the risk.
Surgery may be required to restore the normal function and placement of your organs. We offer minimally invasive vaginal, laparoscopic, and robotic-assisted surgery for more complex cases of pelvic organ prolapse.
This surgery restores the pelvic organs to their normal position and function. Sacrocolpopexy is performed under general anesthesia through an abdominal incision or “keyholes” using a laparoscope or with a surgical robot.
Sacrocolpopexy frees the vagina from the bladder at the front and the rectum at the back. A graft made of mesh covers the front and the back surfaces of the vagina. The surgeon attaches the mesh to the sacrum (tailbone). We can perform sacrocolpopexy and surgery for incontinence or vaginal repair for bladder or bowel prolapse at the same time.
A less invasive surgical procedure is robotic sacrocolpopexy. This surgical system uses tiny, 1- to 2-centimeter incisions. Robotic sacrocolpopexy allows doctors to operate with greater precision and control.
For most women, robotic sacrocolpopexy offers benefits over traditional open surgery, including:
- Less blood loss and need for transfusions
- Less pain
- Less risk of infection
- Less scarring
- Shorter hospital stay
- Shorter recovery time
- Quicker return to normal activities