Pelvic Organ Prolapse & Vaginal Reconstruction

Pelvic organ prolapse — a feeling of a bulge or heaviness in the vagina as the pelvic organs drop from their normal position — is common, not dangerous in itself, and very treatable. At Sama Hospital’s urogynaecology unit — in a NABH-accredited, doctor-owned hospital in South Delhi — many women are managed without surgery, and where reconstruction is needed, it restores normal support and function.

This is reconstructive, functional surgery — entirely distinct from cosmetic vaginal procedures.

The pelvic floor supports the bladder, womb and bowel. When that support weakens — often after childbirth, with age, or after the menopause — one or more of these organs can drop, producing a sensation of a lump or dragging heaviness in the vagina, and sometimes bladder or bowel symptoms.

• A feeling of a lump, bulge or “something coming down” in the vagina
• A dragging or heavy sensation, often worse by the end of the day
• Difficulty emptying the bladder or bowel completely
• Urinary leakage or urgency
• Discomfort during intercourse

A mild prolapse with few symptoms may need nothing more than reassurance and pelvic floor exercises. Two non-surgical approaches help a great many women:

• Pelvic floor physiotherapy — strengthening the support and easing symptoms (see our pelvic floor physiotherapy page)
• A vaginal pessary — a soft supportive device that holds the organs in position, which many women use successfully for years

Surgery is for a prolapse causing significant symptoms that these measures have not adequately relieved.

Where surgery is needed, pelvic floor repair restores the support of the prolapsed organs and repairs the vaginal walls, tailored to which organs are involved. It is done vaginally or laparoscopically depending on the case. The aim is to restore normal function and comfort.

Vaginal reconstruction for prolapse is often confused with cosmetic vaginal surgery. They are different things. This is medical, reconstructive surgery that restores the normal support and function of the pelvic organs. It is not a cosmetic procedure, and we treat it as the functional condition it is.

Recovery takes several weeks, avoiding heavy lifting and straining while healing. Pelvic floor rehabilitation afterwards supports a durable result. Your specialist will give you a clear recovery plan.

What moves the figure: whether treatment is conservative or surgical; the type and extent of the repair; anaesthesia; and length of stay. Much treatment is non-surgical.

We quote an all-inclusive package, confirmed after clinical assessment, with cashless treatment available for eligible insurance patients. See our cost estimate page.

Doctor-owned, NABH-accredited, in South Delhi since 1982, with a dedicated urogynaecology team named on this page. We offer the conservative options first — physiotherapy and a pessary help many women avoid surgery altogether.

When the bladder, womb or bowel drops because the pelvic floor support has weakened — often after childbirth, with age, or after menopause. It causes a bulge or heaviness and sometimes bladder or bowel symptoms. Common, not dangerous in itself, and treatable.

No. Mild prolapse may need no treatment. Pelvic floor physiotherapy and a vaginal pessary help many women for years. Surgery is for significant symptoms not helped by these.

No. This is reconstructive surgery to restore the normal support and function of the pelvic organs — a medical treatment, entirely different from cosmetic vaginal procedures.

A soft supportive device placed in the vagina to hold the prolapsed organs in position. An effective non-surgical option many women use for years, fitted and checked by the specialist.

It can, as the underlying tendency remains. Careful surgery plus pelvic floor rehabilitation and avoiding heavy straining reduce the risk.