GYNAECOLOGY · CONDITION GUIDE
Uterine Prolapse
A condition in which the uterus descends into or beyond the vaginal canal due to weakened pelvic floor muscles and ligaments — causing discomfort, pressure, and urinary or bowel symptoms.
ABOUT THIS CONDITION
What is Uterine Prolapse?
Uterine prolapse occurs when the pelvic floor muscles, ligaments, and connective tissues become too weak to support the uterus in its normal position — allowing it to drop into the vaginal canal. It is staged from Grade I (mild descent) to Grade IV (complete prolapse beyond the vaginal opening). Childbirth, menopause, obesity, and chronic straining are common contributing factors. Symptoms range from a feeling of vaginal pressure to urinary incontinence and bowel difficulties. Dr. Ashwani Narla offers the full spectrum of surgical repair options at Lux Hospitals, Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
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Vaginal childbirth causing stretching or tearing of pelvic floor supports
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Menopause and oestrogen deficiency weakening pelvic connective tissue
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Chronic straining from constipation or heavy lifting over time
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Obesity increasing intra-abdominal pressure on the pelvic floor
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Chronic cough from respiratory conditions stressing pelvic supports
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Genetic predisposition to connective tissue weakness
CLINICAL DETAILS
KeyFacts
Pelvic floor disorder with descent of the uterus into the vaginal canal
7 procedures from vaginal repair to laparoscopic sacrocolpopexy
Grade I–IV based on the degree of uterine descent below the ischial spines
Sacrohysteropexy preserves the uterus in selected younger patients
Most patients ambulate within 24 hours; full recovery in 4–6 weeks
Available at Lux Hospitals, Hitech City, Hyderabad
HOW WE TREAT IT
Treatment Approach
Vaginal Hysterectomy with Pelvic Floor Repair
Removal of the uterus through the vagina combined with repair of the pelvic floor — a comprehensive approach for symptomatic prolapse.
- 1
Consultation & Assessment
Dr. Ashwani Narla performs a pelvic examination to stage the prolapse, assess associated cystocele or rectocele, and review bladder and bowel function.
- 2
Treatment Planning
A personalised surgical plan is made based on prolapse grade, associated defects, patient age, and whether uterine preservation is desired.
- 3
Surgical Procedure
Appropriate repair — vaginal hysterectomy, colporrhaphy, suspension, sacrocolpopexy, or sacrohysteropexy — is performed based on individual findings.
- 4
Follow-up
Long-term follow-up ensures durability of repair.
AVAILABLE TREATMENTS
TreatmentOptions
Vaginal Hysterectomy with Pelvic Floor Repair
Removal of the uterus through the vagina combined with repair of the pelvic floor — a comprehensive approach for symptomatic prolapse.
Anterior Colporrhaphy (Cystocele Repair)
Repair of the front vaginal wall to correct bladder descent (cystocele) and relieve urinary symptoms caused by anterior prolapse.
Posterior Colporrhaphy (Rectocele Repair)
Repair of the back vaginal wall to correct rectal descent (rectocele) and improve bowel function in posterior compartment prolapse.
Uterosacral Ligament Suspension / Sacrospinous Fixation
Suspension of the vaginal vault to strong pelvic ligaments to restore normal anatomical support following hysterectomy.
Sacrocolpopexy (Laparoscopic / Robotic)
Laparoscopic attachment of the vaginal vault to the sacrum using mesh — a durable option for selected patients requiring apical support.
Sacrohysteropexy (Uterus-Preserving)
Laparoscopic suspension of the uterus to the sacrum using mesh — preserves the uterus in selected younger women with significant prolapse.
Colpocleisis
Closure of the vaginal canal — a highly effective option for elderly women who are no longer sexually active and unfit for major surgery.
COMMON QUESTIONS
Frequently Asked Questions
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