Uterus Prolapse/ Decent Treatment and Surgery

Uterus Prolapse/ Decent Treatment and Surgery

We provide specialized care for women experiencing a uterine prolapse at our Department of Gynaecology. Patients often describe this condition as something that feels like it is coming down. That sensation of heaviness or a bulge in the vagina is often due to uterine prolapse, a type of pelvic organ prolapse where the uterus descends because the supporting muscles and ligaments have weakened over time. It is not a life-threatening condition, but it can significantly affect comfort, bladder control, bowel movements, and confidence. The good news is that it is manageable, and treatment can be tailored to the woman’s age, symptoms, and lifestyle.

The pelvic floor acts like a supportive hammock for the uterus, bladder, and rectum. When this support weakens, organs may shift downward. The common causes include:

  • Several vaginal births, particularly when the infants are big
  • Menopause, when tissue strength is impacted by decreased oestrogen
  • Prolonged coughing or chronic constipation that causes straining
  • Obesity raises the pressure in the abdomen.
  • Women typically perform a lot of physical exertion to manage household chores and labour-intensive jobs.
  • Previous pelvic surgery, including hysterectomy

It is important to reassure patients that prolapse is not a “failure” on their part. It develops gradually over the years.

Not every woman with mild prolapse has symptoms. However, as descent progresses, complaints become more noticeable.

Common concerns women share during consultation include:

  • A dragging or heavy feeling in the lower abdomen
  • A visible or palpable bulge in the vagina
  • Lower back discomfort, especially in the evening
  • Urine leakage while coughing or sneezing
  • Difficulty emptying the bladder completely
  • Constipation or pressure during bowel movement
  • Discomfort during intercourse

Symptoms often worsen after prolonged standing and improve on lying down, a detail many patients mention.

Diagnosis is usually straightforward. A detailed history and pelvic examination are often sufficient. Many cases are detected during routine gynecological check-ups. Imaging, such as pelvic ultrasound, may be advised in selected cases. Advanced scans like MRI are reserved for complex or recurrent prolapse, not routinely required for everyone. We also assess bladder symptoms carefully, as urinary incontinence may need additional evaluation.

Treatment depends on severity and how much the symptoms affect daily life.

1. Conservative (Non-Surgical) Management

For mild cases:

  • Pelvic floor exercises (Kegel exercises)
  • Weight management
  • Treating chronic constipation
  • Avoiding heavy lifting
  • Local estrogen therapy in postmenopausal women

A vaginal pessary, a silicone support device, can be very effective for women who wish to avoid or delay surgery. It is especially useful in elderly patients or those with medical conditions.

2. Surgical Treatment

Surgery is considered when symptoms are significant or quality of life is affected.

Options include:

  • Uterus-preserving repair procedures (for women who wish to retain the uterus)
  • Vaginal hysterectomy with pelvic floor repair
  • Ligament fixation procedures, such as uterosacral or sacrospinous fixation
  • Abdominal or laparoscopic procedures in selected cases

The approach depends on age, severity, sexual activity, medical fitness, and patient preference. Today, many procedures are minimally invasive with good long-term outcomes. At UMC Hospitals, we perform uterine prolapse surgery in Navi Mumbai with excellent results.

Management of uterine prolapse requires careful counselling. Many women delay seeking help due to embarrassment or the belief that it is a “normal part of ageing.” In our hospital, evaluation includes a detailed assessment of bladder, bowel, and pelvic floor function. Treatment plans are individualized rather than one-size-fits-all. We focus equally on symptom relief, long-term support, and preventing recurrence. With timely care, most women experience significant improvement in comfort and confidence. Early consultation makes treatment simpler and recovery smoother. Consult our experienced team of uterine prolapse treatment doctors in Navi Mumbai at UMC Hospitals for the best possible care.