Pelvic Organ Prolapse Surgery

Helping You Feel Strong, Supported, and Comfortable Again

Pelvic organ prolapse is a common condition where the bladder, uterus, or rectum pushes into or out of the vaginal canal due to weakened pelvic floor muscles. It often occurs after childbirth, menopause, or pelvic surgery — and while it’s not dangerous, it can significantly affect comfort, physical activity, and quality of life. Dr. Affie Tourani offers compassionate, evidence-based care for prolapse, including non-surgical support and advanced surgical repair options that respect your lifestyle and future goals.

Diagram showing types of pelvic organ prolapse: cystocele, rectocele, enterocele, uterine prolapse.

What Is Pelvic Organ Prolapse?

Prolapse occurs when the structures that hold the pelvic organs in place (muscles, ligaments, and fascia) become weakened or stretched. Depending on the organ affected, prolapse can be classified as:

  • Cystocele (bladder bulging into the front vaginal wall)

  • Rectocele (rectum bulging into the back vaginal wall)

  • Uterine prolapse (uterus descending into the vaginal canal)

  • Enterocele (small bowel pushing into the vaginal wall)

  • Vaginal vault prolapse (after hysterectomy)

Symptoms of Prolapse

Vaginal pressure or heaviness

  • A visible or palpable bulge at the vaginal opening

  • Discomfort when standing, walking, or lifting

  • Difficulty with bowel emptying

  • Sensation of looseness or “dragging” in the pelvis

  • Pain or discomfort during intimacy

An anatomical model of the female reproductive system with "PROLAPSE" spelled in wooden blocks, a stethoscope, and a person writing in the background.

Treatment Options

Non-Surgical Management

For mild to moderate prolapse, Dr. Tourani may recommend:

  • Pelvic floor physiotherapy to strengthen support muscles

  • Vaginal pessaries – small silicone devices inserted to support the organs

  • Lifestyle advice (weight management, avoiding straining, bowel care)

Surgical Options

When symptoms are bothersome and conservative measures are not enough, surgery can offer excellent symptom relief and long-term results. The types of surgeries offered include:

  • Anterior repair – strengthens the front vaginal wall to support the bladder

  • Posterior repair – reinforces the back vaginal wall for rectal support

  • Uterine suspension – for uterine prolapse, preserving the uterus when appropriate

  • Vaginal hysterectomy – if uterine removal is required

  • Vaginal vault suspension – for prolapse after hysterectomy

Dr. Tourani uses native tissue repairs, avoiding the use of synthetic mesh, and tailors each surgery to the patient’s anatomy and life stage.

A Thoughtful, Woman-Centred Approach

Dr. Affie Tourani takes time to listen to your concerns, explain your options clearly, and guide you through treatment with warmth and professionalism. She is committed to helping women restore pelvic support while preserving function, dignity, and comfort.

Recovery and Results

  • Most surgeries are performed vaginally, without external cuts

  • Hospital stay is usually 1–2 nights

  • Light activities can resume in 1–2 weeks

  • Full pelvic healing takes around 6 weeks

  • Long-term outcomes are excellent when combined with ongoing pelvic floor care