Pelvic Organ Prolapse Treatment and Care

Pelvic Organ Prolapse Treatment and Care at Liv Hospital: Personalized Surgical and Non-Surgical Solutions for Pelvic Floor Restoration

Pelvic organ prolapse treatment includes lifestyle changes, pelvic floor therapy, and advanced surgical options. At Liv Hospital, individualized care plans aim to restore anatomy, function, and quality of life.

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Pelvic Organ Prolapse Treatment and Care

How Is Pelvic Organ Prolapse Treated at Liv Hospital?

Treatment for Pelvic Organ Prolapse (POP) at Liv Hospital is not a “one-size-fits-all” solution. In the modern medical era, we view the pelvic floor as a complex architectural system that requires a customized restoration plan. Our primary goal is twofold: to restore the anatomical position of the organs and to preserve or improve the functional aspects of the bladder, bowel, and sexual health.

At Liv Hospital, we follow a “patient-centered” ladder of care. This means we begin with the least invasive options, moving to advanced surgical techniques only when conservative methods no longer support the patient’s lifestyle. Whether you are an athlete, a young mother, or in your post-menopausal years, your treatment plan is designed to match your specific physical demands.

First-Line Conservative Therapy: Pelvic Floor Rehabilitation

For mild to moderate prolapse (Stage I or II), or for patients who wish to avoid surgery, specialized physical therapy is the foundation of care.

Biofeedback and Electrical Stimulation: We use 2026-standard sensors to help patients “visualize” their pelvic floor muscles on a screen. This ensures that Kegel exercises are performed correctly, targeting the levator ani muscles that provide the primary “hammock” support.
Functional Strengthening: Beyond simple contractions, our therapists teach you how to engage your pelvic floor during daily activities like lifting groceries or sneezing, preventing further organ descent.

Mechanical Support: The Use of Modern Pessaries

A pessary is a removable silicone device inserted into the vagina to hold the pelvic organs in place.

Personalized Fitting: At Liv Hospital, we offer dozens of shapes and sizes (ring, cube, or Gellhorn pessaries). A specialist ensures a perfect fit so the device is not felt during daily activity.
A Non-Surgical Alternative: Pessaries are an excellent long-term option for women who do not want surgery or for whom surgery is medically risky. They provide immediate relief from the “bulge” sensation and can be managed easily at home.

Regenerative Medicine: Estrogen and Laser Therapy

The health of the vaginal tissue is critical for the success of any treatment.

Local Estrogen Therapy: For post-menopausal women, we often prescribe local estrogen creams to thicken the vaginal lining and improve the collagen content of the supporting tissues.
CO₂ Laser Treatment: In specific cases, we use fractional laser therapy to stimulate “neocollagenesis”—the production of new collagen fibers—within the vaginal walls to provide firmer structural support.

Robotic-Assisted Sacrocolpopexy

When surgery is required for apical (uterine or vault) prolapse, Liv Hospital utilizes the most advanced robotic platforms.

Micro-Precision Suspension: Using a robotic system, the surgeon attaches a lightweight, biocompatible mesh to the top of the vagina or cervix and secures it to a strong ligament on the tailbone (the sacrum).
Benefits of the Robotic Approach: This technique offers the highest durability and success rates. Because it is minimally invasive, patients experience significantly less pain, minimal blood loss, and a much faster return to their normal lives compared to traditional open surgery.

Vaginal Reconstructive Surgery (Native Tissue Repair)

For women who prefer to avoid synthetic mesh, our surgeons are experts in “Native Tissue Repair.”

Colporrhaphy: We tighten the patient’s own vaginal tissues to support the bladder (anterior repair) or the rectum (posterior repair).
Sacrospinous Fixation: A specialized technique where the top of the vagina is sutured to a strong internal pelvic ligament. This restores the vaginal depth and axis without using any permanent implants.

Obliterative Surgery: Colpocleisis

For elderly patients who are no longer sexually active and have severe, recurring prolapse, we offer a highly successful procedure called “colpocleisis.”

Closing the Vaginal Canal: The vaginal walls are sutured together to permanently support the organs.
High Success and Low Risk: This procedure is very well-tolerated and has a nearly 100% success rate in eliminating the “bulge,” with a very short recovery time.

Managing "Masked" Urinary Incontinence

As discovered during the diagnosis phase, if a patient has hidden incontinence that will be “unlocked” by fixing the prolapse, we address it simultaneously.

Mid-Urethral Slings: We can place a small “ribbon” of mesh under the urethra during the prolapse surgery. This ensures that once the organs are back in place, the patient remains dry during physical activities.

Innovation at Liv Hospital: Mesh-Sparing Techniques

At Liv Hospital, we stay at the forefront of the global conversation regarding surgical materials. While mesh is a vital tool for durability in some cases, we prioritize “Mesh-Sparing” techniques whenever possible. We utilize high-tech, absorbable biological grafts that provide support while the body builds its own new collagen, reducing the risk of long-term complications associated with permanent synthetic materials.

Multidisciplinary Surgical Excellence

One of the unique aspects of Liv Hospital is our “Dual-Surgeon” approach for complex cases. If a patient has significant bowel involvement (rectocele) along with uterine prolapse, our urogyn specialists work alongside colorectal surgeons. This ensures that both the “plumbing” and the “structure” are optimized in a single anesthesia session, providing a comprehensive solution to a complex problem.

What Makes Pelvic Organ Prolapse Care at Liv Hospital Comprehensive?

We understand that surgery of the pelvic floor is a deeply personal matter. At Liv Hospital, our care goes beyond the operating room. We provide a private, empathetic environment with dedicated nursing staff specialized in female pelvic health. From our “pre-habilitation” programs that prepare your body for surgery to our specialized post-operative pain protocols, we ensure that your journey back to health is smooth, safe, and dignified. At Liv Hospital, we don’t just “fix a bulge” we restore a woman’s confidence and her ability to live life to the fullest.

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FREQUENTLY ASKED QUESTIONS

Will I need a hysterectomy to fix my prolapse?

Not necessarily. Modern “Uterine-Sparing” techniques at Liv Hospital allow us to lift the uterus back into place without removing it, which is often preferred by younger women.

Is surgical mesh safe?

When used by the specialized experts at Liv Hospital for Sacrocolpopexy (robotic suspension), mesh is considered highly safe and is the international gold standard for durability. We will discuss all material options with you in detail.

ow long does the surgery take?

Depending on the complexity, most robotic or vaginal repairs at Liv Hospital take between 1.5 to 3 hours.

When can I resume sexual activity after surgery?

Generally, we recommend waiting 6 to 8 weeks to ensure that the vaginal incisions are completely healed and the internal supports are strong.

Can the prolapse come back after surgery?

While no surgery has a 100% guarantee, our use of robotic technology and ligament-fixation techniques at Liv Hospital results in much lower recurrence rates than traditional methods.