Uterine Prolapse Treatment
uterine prolapseIt is a condition in which the uterus descends towards the vaginal canal as a result of the weakening of the pelvic floor muscles, connective tissues and support structures that hold the uterus in place. in medicineuterine prolapseAlso called. While in mild cases, there may be a feeling of fullness and pressure only in the vagina, in advanced cases, the uterus may become visible outside the vaginal entrance.
Treatment for uterine prolapse is not uniform. Treatment plan; It is prepared individually according to the degree of prolapse, the patient's complaints, age, menopause status, sexual life, whether they want to become pregnant in the future, and whether there is accompanying urinary bladder or intestinal prolapse.
“The aim of the treatment of uterine prolapse is not only to correct the sagging tissue, but also to evaluate pelvic floor support, urinary-intestinal functions and quality of life together.”
Article Summary
Uterine Prolapse Treatment should be addressed by evaluating the person's complaints, examination findings and needs together. In this article, the basic points about Uterine Prolapse Treatment, the diagnosis-treatment process and things to consider are summarized.
What Will You Find in This Article?
- What is Uterine Prolapse?:This section explains basic information on the subject, the evaluation process and points to consider.
- What Causes Uterine Prolapse?:This section explains basic information on the subject, the evaluation process and points to consider.
- What are the symptoms of uterine prolapse?:This section explains basic information on the subject, the evaluation process and points to consider.
- How to Evaluate Degrees of Uterine Prolapse?:This section explains basic information on the subject, the evaluation process and points to consider.
What is Uterine Prolapse?
Uterine prolapse is the downward displacement of the uterus from its normal anatomical position. Pelvic floor tissues support the uterus, bladder and intestines. When these support tissues weaken, the uterus may descend into the vagina. Uterine prolapse in some patientscystocelei.e. bladder prolapse orrectoceleIn other words, it may also be accompanied by intestinal prolapse.
In the evaluation of urinary incontinence and pelvic organ prolapse, the type of complaint, its impact on daily life, birth history and pelvic examination findings should be considered together [1][2].
What Causes Uterine Prolapse?
The main cause of uterine prolapse is weakening of pelvic floor support. This weight loss is often not due to a single reason; Birth, aging, menopause, chronic straining, excess weight and connective tissue characteristics may be effective together.
The treatment plan is not the same for every patient; Lifestyle adjustments, pelvic floor exercises, pessary, medication or surgical options are evaluated individually [1][3].
The main factors that can lead to uterine prolapse are:
- Having had one or more vaginal births,
- History of difficult birth, large baby birth or invasive birth,
- Aging and weakening of pelvic support tissues,
- Decrease in tissue elasticity due to decrease in estrogen after menopause,
- Chronic constipation and constant straining,
- Chronic cough or long-term cough due to smoking,
- Heavy lifting or heavy physical work
- Previous pelvic surgeries,
- Genetic predisposition to connective tissue weakness.
What are the symptoms of uterine prolapse?
Symptoms of uterine prolapse may vary depending on the degree of prolapse and accompanying pelvic organ prolapse. There may be no symptoms in mild cases. In moderate and severe sagging, complaints of vaginal fullness, pressure, a feeling of being pulled down and a palpable mass may be observed.
If a surgical decision is to be made, the patient's expectations, degree of prolapse, sexual life, accompanying urinary incontinence and risk of recurrence should be discussed together [1][2].
Symptoms of uterine prolapse include:
- Feeling of fullness, pressure or heaviness in the vagina,
- Feeling of pulling downward or sagging,
- Palpable tissue or mass at the entrance to the vagina,
- Pelvic discomfort that increases when standing for long periods of time,
- Feeling of pressure that decreases when lying down,
- Frequent urination or feeling of not being able to void urine completely,
- Urinary incontinence when coughing, laughing or straining,
- Constipation, straining during defecation or intestinal compression,
- Discomfort, pain or feeling of pressure during sexual intercourse,
- Difficulty using tampons.
How to Evaluate Degrees of Uterine Prolapse?
When evaluating uterine prolapse, it is examined how far the uterus descends into or outside the vagina. In mild prolapses, even though the uterus is displaced downwards, it is not visible from the outside. If it is advanced, tissue may be noticed at the entrance of the vagina or outside.
If there is an increase in complaints, bleeding, pain, or new onset of urinary problems during the follow-up period, re-evaluation is required [3].
- Mild Uterine Prolapse:The uterus has descended but has not reached the entrance to the vagina. There may be no symptoms or a slight feeling of pressure.
- Moderate Uterine Prolapse:The uterus descends to lower levels within the vagina. Fullness, pressure and urinary complaints may be observed.
- Advanced Uterine Prolapse:The uterus becomes visible towards the entrance or outside of the vagina. Daily life, sexual life and urinary-intestinal functions may be affected.
Rating is not just based on the image; The patient's complaints, urinary and bowel functions, sexual life and other accompanying prolapses should be evaluated together.
How is Uterine Prolapse Diagnosed?
The diagnosis of uterine prolapse is often made with a detailed patient history and gynecological examination. During the examination, the position of the uterus, the support of the vaginal walls, and whether there is bladder and bowel prolapse are evaluated. The degree of prolapse can be observed more clearly by asking the patient to cough or strain.
If there are accompanying complaints such as urinary incontinence, inability to fully void urine, constipation or pain during sexual intercourse, additional examinations may be required. These tests may include urinalysis, urine culture, ultrasound, post-void residual urine measurement, or urodynamics.
How to Plan Uterine Prolapse Treatment?
Uterine prolapse treatmentIt is planned according to the degree of sagging and its impact on the patient's quality of life. In mild and asymptomatic cases, follow-up may be sufficient. When symptoms increase, pelvic floor exercises, lifestyle changes, vaginal pessary or surgical treatment options are evaluated.
The following questions are taken into account in the treatment plan:
- Is the sagging mild, moderate or severe?
- How much is the patient's daily life affected?
- Do you have urinary incontinence or difficulty urinating?
- Is it accompanied by constipation or bowel emptying problems?
- Is the patient sexually active?
- Are there any plans for pregnancy in the future?
- Is the general health condition suitable for surgery?
- Is it desired to protect the uterus?
“The choice of treatment for uterine prolapse should be made not only according to the degree of prolapse, but also according to the patient's complaints, lifestyle, sexual life and pregnancy plan.”
Non-Surgical Uterine Prolapse Treatment Options
Non-surgical methods have an important place in the treatment of uterine prolapse, especially in patients with mild and moderate complaints. These methods may not completely eliminate sagging; but it can reduce symptoms, slow progression, and improve quality of life.
Methods used in the treatment of uterine prolapse without surgery:
- Pelvic Floor Exercises:Kegel exercises and pelvic floor physiotherapy can help strengthen supporting tissues.
- Weight Control:Weight management is important because excess weight increases pressure on the pelvic floor.
- Preventing Constipation:Fiber diet, adequate fluid intake and reducing straining can reduce the pressure on sagging.
- Avoiding Heavy Lifting:It is important to reduce the load on the pelvic floor.
- Vaginal Estrogen:It can be evaluated to support vaginal tissue in suitable post-menopausal patients.
- Vaginal Pessar:Sagging can be supported mechanically with a support device placed inside the vagina.
Uterine Prolapse Treatment with Vaginal Pessar
vaginal pessaryIt is a medical device made of silicone or similar material that is placed inside the vagina and supports the prolapsed pelvic organs. It can be evaluated in patients who do not want to have surgery, who are not suitable for surgery, who are elderly, who are planning pregnancy, or who want to postpone surgery.
Things to consider when using pessar:
- The appropriate size should be determined by the physician.
- Comfort and fit should be checked after initial placement.
- Checking and cleaning should be done at regular intervals.
- If there is discharge, bad odor, bleeding, pain or irritation, consult a physician.
- If there is sensitivity in the tissues after menopause, local treatments may be required.
When is Uterine Prolapse Surgery Required?
Not every uterine prolapse requires surgery. However, if the sagging is severe, tissue protrudes outside the vagina, urinary or bowel functions are affected, there is significant discomfort in sexual life, or if non-surgical methods do not provide sufficient benefit, surgical treatment may be considered.
Uterine prolapse surgery may be considered in the following cases:
- Significant tissue sagging at the entrance or outside of the vagina,
- Feeling of pelvic pressure and heaviness that disrupts daily life,
- Difficulty urinating or inability to void urine completely,
- Pelvic organ prolapse with urinary incontinence,
- Constipation and difficulty defecating,
- Pain or significant discomfort during sexual intercourse,
- Inability to use a vaginal pessar or not benefiting from a pessar,
- Prolapse causing recurrent irritation, wound or infection.
Surgical Options for the Treatment of Uterine Prolapse
Uterine prolapse surgery is not just a single method. The surgical plan is prepared according to the degree of prolapse, the patient's age, sexual life expectancy, desire for pregnancy, whether the uterus will be preserved, and accompanying conditions such as cystocele or rectocele.
Surgical options may include:
- Uterine Protective Prolapse Repairs:It is aimed to strengthen the supporting tissues in patients where preservation of the uterus is appropriate.
- Repair with Hysterectomy:In suitable patients, removal of the uterus and repair of vaginal support tissues may be planned.
- Vaginal Repair Surgeries:It is the vaginal correction of sagging and strengthening of supporting tissues.
- Laparoscopic or Minimally Invasive Repairs:Supportive surgeries can be performed through small abdominal incisions in selected patients.
- Accompanying Cystocele or Rectocele Repair:If there is bladder or bowel prolapse, repair can be evaluated in the same session.
Which Uterine Prolapse Treatment is Suitable for Which Patient?
| Patient Profile | Featured Approach | Explanation |
|---|---|---|
| Patient with slight sagging and few complaints | Follow up + pelvic floor exercise | If symptoms are mild, regular check-ups, lifestyle adjustments and exercise may be the first step. |
| Patient with moderate sagging who does not want surgery | vaginal pessary | It is a supportive option for people who do not want or are not suitable for surgery. |
| Post-menopausal patient with tissue sensitivity | Supportive treatments + local approach | After the examination, treatments that support vaginal tissue quality can be planned in suitable patients. |
| Patient with forward prolapse, whose daily life is affected | Surgical evaluation | If there is significant pressure, protruding tissue and loss of function, surgery may be a stronger option. |
| Patient considering pregnancy in the future | Uterine protective planning | The choice of treatment should be tailored specifically to the fertility plan. |
Recovery Process After Uterine Prolapse Treatment
The healing process varies depending on the treatment applied. Pelvic floor exercises require regular practice to see results. Some patients may feel relief in a short time when using pessar; but regular control is essential. Recovery after surgical treatment varies depending on the extent of the procedure performed.
Things to consider after surgery:
- Do not lift heavy objects for the period recommended by the doctor,
- Avoiding constipation and avoiding straining,
- Waiting for the healing period recommended by the doctor before sexual intercourse,
- Avoiding environments that may pose a risk of infection, such as pools, Turkish baths, jacuzzis and bathtubs,
- Not disrupting control appointments,
- Continuing pelvic floor exercises with physician approval,
- See a doctor in case of fever, foul-smelling discharge, heavy bleeding, severe pain or inability to urinate.
Does Uterine Prolapse Recur?
Long-term relief may be achieved in some patients after treatment for uterine prolapse; However, sagging may occur again over time. The risk of recurrence does not depend only on the treatment applied. Connective tissue structure, age, menopausal status, overweight, chronic constipation, chronic cough, heavy lifting and accompanying pelvic floor problems also affect the risk of recurrence.
To reduce the risk of recurrence, regular check-ups, pelvic floor exercises, weight management, prevention of constipation, avoidance of heavy lifting and treatment of chronic cough are important.
The Importance of Early Application in the Treatment of Uterine Prolapse
Many women may consider the symptoms of uterine prolapse as normal for a long time and delay consulting a doctor. However, early evaluation can increase the likelihood of benefiting from non-surgical methods and a treatment plan can be created before the complaints further deteriorate the quality of life.
Gynecological examination should not be delayed if there is vaginal fullness, a feeling of pulling downwards, palpable tissue, difficulty urinating, a feeling of constipation or pelvic pressure that affects daily life.
Does Uterine Prolapse Affect Sexual Life?
Uterine prolapse may cause pressure, pain, discomfort, loss of self-confidence or avoidance behavior during sexual intercourse in some patients. Factors such as the degree of prolapse, the condition of the vaginal tissues, accompanying dryness or urinary incontinence may affect sexual life.
When appropriate treatment is planned, the feeling of vaginal pressure and discomfort may decrease. However, expectations regarding sexual life should be discussed clearly before treatment; because vaginal length, tissue support and comfort should also be taken into consideration when making surgical planning.
Uterine Prolapse Treatment Prices 2026
Uterine prolapse treatment prices; It may vary depending on the degree of prolapse, whether the treatment is planned as exercise, pessary or surgery, whether the surgery is vaginal, laparoscopic or combined, the type of anesthesia, hospital conditions and whether accompanying cystocele, rectocele or urinary incontinence treatment is required.
The most accurate information about current 2026 uterine prolapse treatment prices can be given after examination and personal evaluation. Because each patient's degree of sagging, complaints and treatment needs are different.
Frequently Asked Questions About Uterine Prolapse Treatment
Uterine prolapse usually does not resolve completely on its own. In mild cases, symptoms may remain constant or ease with exercise and lifestyle changes. However, significant anatomical sagging requires follow-up and a treatment plan.
No. Not every patient requires surgery. In mild and moderate cases, non-surgical options such as pelvic floor exercises, lifestyle changes and vaginal pessary may be considered.
In suitable patients, pelvic floor exercises can relieve symptoms and increase the function of supporting tissues. However, in advanced sagging cases, this alone may not be sufficient.
It can be a safe and effective option when the appropriate size is selected by the doctor and checked regularly. However, if there is discharge, irritation, bleeding or pain, control is required.
Yes. Some patients may experience pressure, discomfort, pain or loss of self-confidence during intercourse. These complaints can be reduced with an appropriate treatment plan.
In some patients, uterine prolapse and pelvic floor weakness may be accompanied by urinary incontinence, frequent urination, or the feeling of not being able to fully void urine. Therefore, urinary complaints should be evaluated separately.
Yes, some patients may experience sagging again over time. Factors such as connective tissue structure, weight, constipation, heavy lifting, chronic cough and age affect the risk of recurrence.
If there is vaginal fullness, a feeling of pulling downwards, palpable tissue, difficulty urinating, a feeling of constipation or pelvic pressure affecting daily life, a gynecological examination should be performed.