Understanding Uterine Prolapse and Surgical Options for Repair

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uterine prolapse repair surgery showing stages of prolapsed uterus and pelvic organ prolapse treatment

Uterine prolapse is a common women’s health problem seen after childbirth, multiple normal deliveries, or with increasing age. It happens when the pelvic muscles become weak and the uterus slips down from its normal position, a condition also known as uterus prolapse, uterus displacement, or pelvic organ prolapse (POP). Many women ignore early signs due to shyness, but delayed treatment can affect daily life, bladder control, and comfort. The good news is that uterine prolapse treatment today includes pelvic floor exercises, home remedies for uterus prolapse, and advanced uterine prolapse repair surgery when needed.

At Kolte Hospital, Ravet, Pune, Dr. Dipak S. Kolte, one of the best gynecologists in PCMC and Pune, offers safe, personalised, and effective solutions for all stages of uterine prolapse.

What Is Uterine Prolapse?

Uterine prolapse happens when the uterus slips down from its normal position into the vagina. This occurs due to weakness in the muscles and ligaments that support the uterus. These muscles are part of the pelvic floor.

In simple words, when the uterus loses support, it starts coming down. In severe cases, it may even come outside the vaginal opening.

Uterine prolapse definition: Uterine prolapse is the downward movement of the uterus due to weak pelvic floor muscles.

Types and Stages of Uterine Prolapse:

Doctors classify uterine prolapse based on how much the uterus has moved down. This is called uterine prolapse grading.

1. First Degree Uterine Prolapse:

  • Uterus drops slightly
  • Usually mild symptoms
  • Also called first degree prolapsed uterus

2. Second Degree Uterine Prolapse:

  • Uterus comes near the vaginal opening
  • Discomfort increases

3. Third Degree Uterine Prolapse:

  • Uterus partly comes out of the vagina

4. Fourth Degree (Complete Prolapse):

  • Uterus fully comes outside
  • Also known as uterus collapse

Understanding the stage helps doctors decide the right treatment.

Common Causes of Uterine Prolapse:

Many factors can weaken the pelvic muscles and cause uterus prolapse:

  • Normal vaginal delivery, especially multiple deliveries
  • Prolonged or difficult labour
  • Ageing and menopause
  • Weak pelvic floor muscles
  • Chronic constipation and straining
  • Heavy lifting
  • Obesity
  • Chronic cough
  • Hormonal changes after menopause

These causes slowly lead to uterus displacement over time.

Symptoms of Uterine Prolapse You Should Not Ignore:

Symptoms depend on the stage of prolapse. Common signs include:

  • Feeling of heaviness or pulling in the pelvis
  • Something coming out of the vagina
  • Difficulty in walking or standing for long
  • Back pain
  • Pain during sex
  • Urine leakage or difficulty passing urine
  • Constipation or bowel problems

If you notice these signs, it is important to consult Dr Dipak S. Kolte gynecologist in Pune early.

How Is Uterine Prolapse Diagnosed?

Diagnosis is simple and painless. At Kolte Hospital, Ravet, Dr Dipak S. Kolte do:

  • Detailed medical history
  • Pelvic examination
  • Assessment of prolapse degree
  • Urine tests if needed
  • Ultrasound in selected cases

Early diagnosis helps avoid surgery in mild cases.

Non-Surgical Treatment Options for Uterine Prolapse:

Is surgery always necessary? No. For first degree prolapsed uterus or mild cases, non-surgical methods work well.

1. Uterus Prolapse Exercises (Kegel Exercises): Kegel exercises uterine prolapse treatment is the first line of defense.

  • How to do it: Squeeze the muscles you use to stop urine flow. Hold for 5 seconds, then relax for 5 seconds. Repeat this 10-15 times, 3 times a day.
  • Goal: To strengthen the pelvic floor muscles.

2. Vaginal Pessary: This is a rubber or silicone ring inserted into the vagina to support uterus. It acts like a crutch for the womb. It is a good option if you want to avoid surgery or are pregnant.

3. Lifestyle Changes (Home Remedies):

  • Weight Loss: Reduces pressure on the pelvis.
  • Treat Constipation: Eat high-fiber foods to avoid straining.
  • Avoid Heavy Lifting: Protects the repair

Common Query: “How to fix a prolapsed bladder without surgery?”Answer: A pessary and diligent pelvic floor physiotherapy are the best non-surgical fixes for a prolapsed bladder (cystocele).

When Is Surgery Needed for Uterine Prolapse?

Surgery is advised when:

  • Symptoms affect daily life
  • Prolapse is moderate to severe
  • Non-surgical methods fail
  • Bladder or bowel problems occur

Dr Dipak S. Kolte will guide you based on age, health, and future pregnancy plans.

Surgical Options for Uterine Prolapse Repair:

There are several types of surgeries. Dr. Dipak S. Kolte will choose the best one based on your age and whether you want to have children in the future.

1. Vaginal Hysterectomy (Ward Mayo Surgery): This is the most common uterine prolapse repair surgery for women who have completed their family.

  • Procedure: The uterus is removed through the vagina. No big cuts on the stomach.
  • Ward Mayo Surgery: This is an older term often used to describe vaginal hysterectomy with the repair of the vaginal walls.

2. Pelvic Floor Repair (PFR Surgery): PFR surgery stands for Pelvic Floor Repair. It is often done along with a hysterectomy.

  • Pelvic repair means: Tightening the loose walls of the vagina (anterior and posterior repair) to prevent the bladder or rectum from falling again.
  • This is crucial to stop the “bulge” from coming back.

3. Uterus-Sparing Surgery (Hysteropexy): If you want to keep your uterus, the doctor can use a mesh or sutures to pull the uterus back up and attach it to a strong ligament or bone (sacrum).

At Kolte Hospital, Pune, surgery is chosen based on individual needs, not a one-size-fits-all approach.

Recovery After Uterine Prolapse Surgery:

Recovery depends on the type of surgery:

  • Hospital stay: 2–4 days
  • Return to normal work: 3–6 weeks
  • Avoid heavy lifting for 6 weeks
  • Pelvic exercises advised

Most women feel significant improvement in comfort and confidence after surgery.

Risks and Complications of Prolapse Surgery:

Like any surgery, risks are rare but possible:

  • Infection
  • Bleeding
  • Urine problems
  • Recurrence in some cases

Choosing an experienced doctor reduces risks greatly.

Life After Uterine Prolapse Surgery:

After proper recovery:

  • Daily activities become comfortable
  • Urinary and bowel symptoms improve
  • Sexual life improves
  • Confidence and quality of life increase

Regular follow-ups are important for long-term results.

When Should You See a Gynecologist for Uterine Prolapse?

You should consult a gynecologist if:

  • You feel something coming out of vagina
  • You have pelvic heaviness
  • Urine leakage increases
  • Symptoms worsen with time

Early consultation can prevent surgery.

Meet Dr. Dipak S. Kolte – Best Uterus Prolapse Treatment Doctor in Pune:

If you are looking for Uterine (Pelvic) Prolapse Treatment in Ravet Pune, you are in safe hands with Dr. Dipak S. Kolte.

Dr. Dipak S. Kolte is a renowned Infertility Specialist and Laparoscopic Surgeon with over 16 years of experience. He is known for his calm nature, simple explanations, and high success rates in complex gynecological surgeries.

At Kolte Hospital, Ravet, Pune, he offers:

  • Advanced uterine prolapse repair surgery
  • Non-surgical pelvic treatments
  • Personalised care
  • Affordable treatment plans

Kolte Hospital is known as one of the Best Gynecology and Maternity Hospitals in Ravet & PCMC.

Conclusion:

Uterine prolapse is treatable at every stage if managed on time. From exercises to advanced surgery, modern medicine offers safe solutions. Do not ignore symptoms. Early care leads to better results and improved life quality.

If you are looking for uterine prolapse treatment in Pune, consult Dr. Dipak S. Kolte at Kolte Hospital, Ravet for expert guidance and trusted care.

Ready to start? Consult Dr. Dipak S. Kolte today at Kolte Hospital, Ravet for a personalized assessment. Call for Appointment at 8042755821 / 7768072072.