Vaginal surgery

Vaginal surgery is performed through the natural route without any incision in the abdominal wall. This reduces post-operative pain, speeds recovery and leaves no marks on the skin. For pelvic organ prolapse and urinary incontinence, this method is often the most suitable choice.

Procedures performed

• Treatment of uterine prolapse — restoration of the pelvic floor muscles and ligaments; vaginal removal of the uterus if needed.
• Rectal prolapse (rectocele) — repair of the posterior wall.
• Bladder prolapse (cystocele) — repair of the anterior wall.
• Treatment of urinary incontinence (TOT) — supporting the urethra with a special tape.
• Cervical cerclage — stitching the cervix to protect the pregnancy in cervical insufficiency.

Common complaints

• a feeling of pressure and heaviness below, as if something is coming down;
• urine leakage when coughing, laughing or exercising;
• difficulty passing urine or emptying the bowel;
• discomfort during intercourse.

Preparation and recovery

Before surgery, a gynecological examination, ultrasound and tests are performed; with urinary incontinence an additional urological assessment may be needed. During recovery it is important to avoid lifting heavy objects, strenuous exercise and constipation — they put strain on the stitches.