What is Laparoscopic Uterine Prolapse Surgery?

Uterine prolapse is a condition where the uterus slides down into the vagina as a result of the weakening of the muscles and connective tissues (ligaments) that support it. This condition can lead to symptoms such as urinary incontinence, a feeling of vaginal pressure, and discomfort during sexual intercourse.

Laparoscopic uterine prolapse surgery is a minimally invasive surgical method performed to correct this problem using special instruments and a camera inserted through small incisions in the abdominal region. In this procedure, the prolapsed organs are lifted back up by being suspended (attached) to different structures within the abdomen.

In Which Cases is Surgery Necessary?

If the uterine prolapse is mild, conservative treatments such as pelvic floor exercises or a vaginal pessary may be sufficient. However, surgical intervention is recommended in the following situations:

• Advanced-stage prolapse (when the uterus protrudes outside the vagina)

• Severe symptoms (urinary incontinence, constipation, sexual dysfunction)

• Failure to respond to conservative treatments

• A significant negative impact on daily quality of life

Advantages of Laparoscopic Surgery

• Smaller incisions: Leaves less scarring (better cosmetic results).

• Less pain: There is less postoperative pain compared to open surgery.

• Fast recovery: Patients can generally return to their normal activities within 1-2 weeks.

• Shorter hospital stay: Most patients are discharged the same day or the next day.

Success Rates and Complications

Scientific studies show that laparoscopic uterine prolapse surgeries have high success rates. For example, one study demonstrated successful outcomes in over 90% of patients within 3 years post-surgery.

Complication rates are low and generally temporary. These may include conditions such as infection, bleeding, or mesh erosion.

Post-Operative Recovery Process

• Hospital stay: Generally 1 day.

• Return to work: Within 1-2 weeks.

• Sexual intercourse: Can usually be resumed after 6 weeks, based on your doctor’s recommendation.

• Heavy lifting: Should be avoided for 4-6 weeks.

Conclusion

Laparoscopic uterine prolapse surgery is an effective and safe treatment option for appropriate patients. Thanks to its minimally invasive nature, it rapidly improves patients’ quality of life and shortens the time required to return to daily life.