Surgical Treatments for Pelvic Organ Prolapse

At Atlantic Health System’s Division of Urogynecology and Pelvic Reconstructive Surgery, we provide surgical treatments options to correct pelvic organ prolapse, including:

  • Anterior colporrhaphy - A vaginal procedure to reestablish the supports between the bladder and vagina to fix a cystocele. A synthetic mesh or organic graft material made be placed to reinforce this repair.
  • Paravaginal repair (vaginal or abdominal approach) - Support the vaginal wall by attaching it to the pelvic sidewall to fix a cystocele. A synthetic mesh or organic graft material may be placed to reinforce this repair.
  • Posterior colporrhaphy - A vaginal procedure to reestablish the supports between the vagina and rectum to fix a rectocele; a synthetic mesh or organic graft material may be placed to reinforce this repair.
  • Transvaginal enterocele repair - Close the space between the vagina and rectum through a vaginal incision to prevent the small bowel from pushing the vagina out. This procedure will also resuspend the top of the vagina.
  • Total abdominal hysterectomy (with or without bilateral salpingo/oophorectomy)- Remove the uterus (including the cervix), tubes and ovaries through an abdominal incision.
  • Total laparoscopic hysterectomy - Removal of the uterus (including the cervix), and possibly the tubes and ovaries through a laparoscopic approach.
  • Total vaginal hysterectomy (with or without bilateral salpingo/oophorectomy) - Remove the uterus (including the cervix), tubes and ovaries through a vaginal incision.
  • Bilateral salpingo/oophorectomy - Removal of tubes and ovaries; performed either abdominally, vaginally or laparoscopically.
  • Uterosacral ligament suspension - Suspend the top of the vagina to the uterosacral ligaments; this can be performed vaginally, abdominally or laparoscopically
  • Sacrospinous vaginal vault suspension - A vaginal procedure that attaches the top of the prolapsed vagina to a ligament in the pelvis.
  • Sacral colpopexy - A procedure, performed abdominally or laparoscopically, that attaches the top of the prolapsed vagina to the sacrum using either synthetic mesh or cadaveric material.
  • Iliococcygeal fascial attachment - A vaginal procedure that attaches the top of the prolapsed vagina to pararectal supportive tissue.
  • Supracervical hysterectomy - Removal of most of the uterus, leaving the cervix behind; this approach can be done abdominally or laparoscopically
  • Total colpectomy - Complete closure of the vagina to correct prolapse. This procedure is only performed when the patient is absolutely sure that she will never want to have intercourse again.
  • Total colpocleisis - Closure of the vagina, similar to colpectomy, while leaving channels at the side for drainage from the uterus (which is not removed).
  • Overlapping anal sphincteroplasty - Reattach divided muscle edges around anus to correct fecal incontinence.

Some of our specialty, diagnostic, surgical and non-surgical treatments are provided through Morristown Medical Center and Overlook Medical Center. Physician services are provided through Atlantic Medical Group >  

Locations

Medical Arts Center (MAC) I - Summit

Morristown Medical Center Outpatient Medicine

Atlantic Health System Bridgewater Pavilion