Can prolapse surgery be done vaginally?
Yes, many prolapse surgeries are performed through the vagina. Vaginal repair is the most common approach, especially for cystocele (bladder) or rectocele (rectum) repairs, and for uterine or vaginal vault prolapse. It avoids abdominal incisions and generally allows a quicker recovery.
Detailed Medical Explanation
Vaginal prolapse repairs involve tightening the vaginal wall and supporting tissues using the patient’s own tissue (native tissue repair). Vaginal hysterectomy and vaginal vault suspension are also common. Mesh is rarely used vaginally now due to safety concerns. Vaginal surgery can be suitable for women with medical conditions where abdominal surgery is riskier. Outcomes are generally excellent, with rapid return to normal activities. (NHS: Prolapse treatment | RCOG: Surgical options)
Clinical Context
Not all women are candidates for vaginal repair—consultant assessment is vital to determine the safest and most effective surgical option.
Evidence-Based Approaches
NICE and RCOG support vaginal repair as first-line for many prolapse cases. Minimally invasive or abdominal options are also available depending on needs. (NICE NG123)