Introduction: Uterine prolapse and pelvic organ prolapse are common but overlooked issues in middle-aged women. Korea has extensive experience in combined pelvic floor repair surgery.
1. What Is Pelvic Organ Prolapse?
The pelvic floor is a “hammock” structure supporting the uterus, bladder, and rectum.
Common Causes
- Multiple vaginal deliveries
- Chronic heavy physical labor
- Chronic constipation/cough increasing abdominal pressure
- Menopausal hormonal changes
2. Four Types of Pelvic Prolapse
Uterine Prolapse
- Uterus descends from normal position
Cystocele
- Bladder bulges into anterior vaginal wall
- Symptoms: frequency, urgency, incontinence
Rectocele
- Rectum bulges into posterior vaginal wall
Urinary Incontinence
- Stress incontinence: leakage during coughing, sneezing, running
- Urge incontinence: sudden strong urge
3. Korean Combined Surgical Repair
- Hysteropexy: re-fixation of prolapsed uterus (preserved, not removed)
- Anterior wall repair (cystocele repair)
- Posterior wall repair (rectocele repair)
- Mid-urethral sling (TOT/TVT) – over 90% success rate
4. Recovery & Results
- Surgery: 1-2 hours
- Hospital stay: 2-3 days
- Recovery: 6-8 weeks
- Cure rate: over 95%
5. FAQ
Q1: Is surgery always necessary?
A: Mild prolapse can be managed with Kegel exercises and pessaries.
Q2: Will it recur?
A: Recurrence rate under 5% with quality surgery.
Q3: Can multiple problems be fixed at once?
A: Yes, Korea specializes in combined pelvic floor surgery.
