How successful is prolapse surgery long-term?
Prolapse surgery has high initial success rates, with most women experiencing lasting symptom relief and improved quality of life. However, up to 1 in 3 women may have some degree of recurrence over 5–10 years, particularly after vaginal birth or with certain risk factors.
Detailed Medical Explanation
Surgical repairs (vaginal, laparoscopic, or abdominal) are successful in the majority of women, but prolapse may recur—particularly with ongoing risk factors such as obesity, chronic cough, or constipation. Success rates depend on the type of repair, patient age, and whether mesh or native tissue was used. Long-term studies show that good outcomes are maintained in most women, though some may require repeat procedures. Lifestyle changes and pelvic floor therapy reduce recurrence risk. (NHS: Prolapse treatment | NICE NG123)
Clinical Context
Maintaining a healthy weight, avoiding heavy lifting, and addressing chronic straining can help preserve surgical results. Lifelong pelvic floor care is recommended for all women after prolapse surgery.
Evidence-Based Approaches
RCTs and long-term data support the effectiveness of modern prolapse surgery, but shared decision-making and personalised aftercare are key. (NICE NG123)