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Oxford University Hospitals NHS Foundation Trust

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Pelvic Organ Prolapse (POP)

POP is characterised by bulging of the pelvic organs into the vagina.

Resources

This video from our Physiotherapists provides an excellent introduction to the causes, symptoms and initial management of POP:

Incontinence and Prolapse - Physiotherapy Advice

These articles describe its nature, associated symptoms, and underlying causes:

Maternal pelvic floor trauma (IUGA)

Pelvic organ prolapse (IUGA)

Pelvic organ prolapse (pdf) (RCOG)

Conservative measures are often sufficient to treat many cases of prolapse. These include lifestyle adjustments (including weight loss), physiotherapy, and vaginal pessaries.

Obesity - Effect on the pelvic floor - Risk for surgery (pdf) (BSUG)

A guide to the pelvic floor muscles - women (pdf) (OUH)

Pelvic Floor Exercises (IUGA)

Vaginal pessary for prolapse (pdf) (OUH)

It is important that you have a good understanding of your condition and the options available for managing it.

We are keen to help in any way possible, so please ask as many questions as you need.

NICE guidance

The National Institute for Health and Care Excellence (NICE) provides guidance and information on how POP should be managed. When discussing available treatment options, we are likely to refer to the risks and benefits of each.

Urinary incontinence and pelvic organ prolapse in women: management (NICE)

Surgery for vaginal vault prolapse - Patient decision aid (pdf) (NICE)

Surgery for uterine prolapse - Patient decision aid (pdf) (NICE)

Operations to treat Prolapse of the Uterus (Womb Prolapse) (pdf) (BSUG)

Understanding how risk is discussed in healthcare (RCOG)

In some cases, a surgical procedure is necessary to correct prolapse. The specific operation required is determined by the precise nature of the prolapse, along with the patient's current health, previous surgical history and personal preferences.

Our team undertakes most procedures, but specialises in laparoscopic ('keyhole') reconstructive procedures, such as sacro-hysteropexy and sacro-colpopexy.

Vaginal surgery for POP

Anterior Vaginal Wall Repair without the use of mesh (pdf) (BSUG)

Posterior Vaginal Wall Repair without the use of mesh (pdf) (BSUG)

Sacrospinous fixation (SSF) for prolapse of the uterus (womb) or prolapse of the vaginal vault (top of vagina) (pdf) (BSUG)

Vaginal Hysterectomy for Uterine Prolapse (pdf) (BSUG)

Colpocleisis (Closing the vagina to treat prolapse) (pdf) (BSUG)
This procedure is not currently offered by OUH but we are able to refer patients to other hospitals if appropriate.

Laparoscopic ('keyhole') surgery for POP

Laparoscopic hysteropexy (pdf) (OUH)

Sacrohysteropexy for Uterine Prolapse (Womb Prolapse) (pdf) (BSUG)

Laparoscopic sacrocolpopexy for vaginal vault prolapse (pdf) (OUH)

Sacrocolpopexy for Vaginal Vault Prolapse (pdf) (BSUG)

Attending for surgery and post-operative recovery

Preparing for your operation - Women's Day Surgery and Diagnostic Unit, Horton General Hospital (pdf) (OUH)

Abdominal surgery - Your nursing care, recovery, and getting back to normal (pdf) (OUH)

Recovery Guide After Vaginal Repair Surgery/Vaginal Hysterectomy (IUGA)

Pelvic floor repair operation (RCOG)