Pelvic organ prolapse surgery can offer relief and improve quality of life
The muscles and tissues of your pelvic floor support important organs, including your uterus and bladder. When your pelvic floor is working properly, it keeps all these organs in place. However, at least 3% to 11% of women experience a weakening of the pelvic floor that causes pelvic organ prolapse (POP).
Although this condition can cause uncomfortable symptoms, treatments like pelvic organ prolapse surgery can help. Live Oak Women’s Health explains what you need to know about POP and the surgeries that can treat it.
What is pelvic organ prolapse, and what causes it?
Pelvic organ prolapse occurs when the body’s connective tissue and muscles can no longer support the pelvic organs. These organs include the vagina, uterus, bladder, urethra and rectum. Without the necessary support, these organs begin to sag.
Pregnancy and vaginal childbirth are the most common causes of pelvic organ prolapse. However, menopause, aging and the following situations can also cause this problem.
- Repeated heavy lifting
- Being overweight or obese
- Straining during bowel movements due to constipation
- Chronic coughing
Patients with pelvic organ prolapse may notice a bulge in the vagina, pelvic pressure, or problems with urinating and defecating. If you are experiencing these issues, pelvic organ prolapse surgery may be an option for you.
What treatments are available for POP?
Typically, doctors recommend treating pelvic organ prolapse with nonsurgical options first. These include pelvic floor exercises (Kegel exercises) and a vaginal pessary that goes into the vagina to hold the organs in place.
If these treatments are not effective, pelvic organ prolapse surgery can often help improve symptoms and quality of life.
What are the types of surgery for pelvic organ prolapse?
Surgeons can use two general types of surgery to treat POP. These include obliterative surgery and reconstructive surgery. Our San Antonio OB/GYNs offer both options for our patients.
- Obliterative surgery narrows or closes the vagina. Doing so provides support for the sagging organs. Although this procedure has a high success rate, vaginal sex is no longer possible after this type of surgery.
- Reconstructive surgery is the most common type of pelvic organ prolapse surgery. Its goal is to return the pelvic organs to their original positions. Several types of reconstructive surgery are available, and some use surgical mesh to make the repairs.
Additionally, doctors might recommend a hysterectomy (removal of the uterus) to treat POP in some cases.
The best type of pelvic organ prolapse surgery for you depends on your symptoms, medical history and goals. Our San Antonio OB/GYNs will work with you to select the best treatment for your unique needs.
If you would like to learn more about treatments for pelvic organ prolapse, we invite you to contact us. Our team is here to help you find relief and take back your life from this condition.

