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Condition:  Pelvic Prolapse

Pelvic prolapse is a condition that occurs when muscles and ligaments that support your pelvic organs weaken. As a result, these organs (uterus, vagina, cervix, bladder, urethra, or rectum) slip from their normal position.

Severe uterine prolapse can cause the uterus to slip (prolapse) partially into the vagina. It may cause the upper part of the vagina to sag into the vaginal canal or even outside the vagina. Some women with prolapse have no symptoms. Others may experience:

  • A feeling of sitting on a ball
  • Pulling in the pelvis
  • Pelvic or abdominal pain
  • Painful intercourse
  • Tissue from the vagina sticking out
  • Bladder infections
  • Vaginal bleeding
  • Unusual discharge
  • Constipation or frequent urination.

Pelvic prolapse is common, affecting about one in every three women who have had a child.  One in nine women have symptoms that are severe enough to need surgery. 

Risk Factorsprolapse_examples

  • Multiple vaginal deliveries
  • Age
  • Obesity
  • Hysterectomy
  • Smoking



Your doctor may suggest medicine, rehabilitation or lifestyle changes to ease your symptoms. If non-surgical treatments do not help or if your symptoms get worse, your doctor may recommend surgery.


The procedure is called sacrocolpopexy. During the operation, surgical mesh is used to hold your affected pelvic organ(s) in their natural position. The mesh remains in place permanently. This procedure is not the same as what occurs during transvaginal placement of mesh. Your doctor can fully explain the differences and process to you. Sacrocolpopexy is viewed as the best way to correct pelvic prolapse and resolve symptoms.  The surgery may also be done following a hysterectomy to provide long-term support for the vagina.

Sacrocolpopexy can be performed through traditional open surgery, minimally invasive surgery, or robotic surgery.

Using a da Vinci® robot, surgeons make a few small incisions – similar to traditional laparoscopy. The robot is designed to provide surgeons with enhanced capabilities, including high definition 3D vision and a magnified view. Your doctor controls the robot, which translates his or her hand movements into smaller, precise movements of tiny instruments inside your body.  The robot cannot act on its own. Surgery is performed entirely by the surgeon.


Benefits of Robotic Surgery

Compared with traditional open surgery, robotic surgery requires significantly smaller incisions.  The potential benefits for sacrocolpopexy patients include:

  • Shorter hospital stay
  • Low risk of complications
  • Minimal blood loss
  • Less chance of post-operative fever
  • Reduced pain
  • Less scarring
  • Fast recovery time




Talk to your doctor to decide if robotic surgery is right for you. As with any surgery, there are risks.


These experienced physicians have met rigorous criteria demonstrating excellent outcomes and high patient satisfaction.  For more information or to schedule an appointment for a consultation, click on the surgeon’s photo.

Screen-Shot-2017_Garcini   Dr. Merhi