It is Not Necessary to Remove the Uterus in Uterine Prolapse


Uterine prolapse is very common among women who had multiple deliveries and difficult delivery. In addition, constipation, asthma, obesity, heavy work, genetic predisposition are other causes. The most important finding is the prolapse of tissues out of the vagina.

In the past, the uterus was removed, and then prolapse was corrected in patients with uterine prolapse. Today, this understanding has been abandoned. Prolapsed uterus is not a cause, but a result. If the uterus has no abnormality, it should absolutely not be removed. Blood loss is higher in patients whose uterus is removed, the surgery takes longer and complications associated with the removal of the uterus occur more.

Prolapsed uterine surgeries are performed either through the abdomen or vaginal route. Closed surgeries (laparoscopic, robotic) are preferred for surgeries performed through the abdomen. The advantages are absence of incision, minimal blood loss, early discharge and early return to work.

The uterus can also be preserved in surgeries performed through the vaginal route. The uterus is suspended on the pelvic ligaments or fixed to the side walls of the pelvis using a mesh. Mesh surgeries are the first choice for recurrent prolapse and the success rates are high.