Uterine Prolapse Surgery
What is Uterine prolapse surgery?
Uterine prolapse surgery is a procedure to correct the descent of the uterus into or outside the vaginal canal, often due to weakened pelvic floor muscles and ligaments. It aims to restore anatomy, alleviate symptoms, and improve quality of life. In India, these surgeries are performed in obstetrics and gynecology departments at hospitals like Apollo, Fortis, Medanta, and AIIMS, offering advanced care at affordable costs. Understanding the procedure, costs, recovery, risks, and frequently asked questions (FAQs) is essential for patients in India to make informed decisions.
Why do you need Uterine prolapse surgery?
Uterine prolapse surgery is indicated for:
- Symptomatic uterine prolapse:
- Pelvic pressure or heaviness: Feeling of a bulge or something “falling out” of the vagina.
- Urinary issues: Incontinence, difficulty urinating, or frequent urinary tract infections (UTIs).
- Bowel issues: Constipation or difficulty with bowel movements.
- Sexual dysfunction: Painful intercourse (dyspareunia) or discomfort.
- Stages II–IV prolapse (per Pelvic Organ Prolapse Quantification, POP-Q): Stage I (mild) may not require surgery.
- Associated conditions:
- Cystocele (bladder prolapse) or rectocele (rectal prolapse): Often repaired concurrently.
- Vaginal vault prolapse: In women post-hysterectomy.
- Risk factors:
- Childbirth (esp. multiple vaginal deliveries), aging, menopause (low estrogen), obesity, chronic constipation, or heavy lifting.
The procedure aims to reposition the uterus or remove it (if hysterectomy is chosen), strengthen pelvic support, and relieve symptoms. Options vary based on patient age, desire for future fertility, and prolapse severity.
Why Do Uterine Prolapse Surgery Costs Vary in India?
Costs range from ₹60,000 to ₹2.5 lakh:
- Procedure Type: Vaginal hysterectomy with repair (₹60,000–₹1.5 lakh); laparoscopic sacrohysteropexy/sacrocolpopexy (₹1.5–2.5 lakh).
- Hospital/Location: Higher in metro cities (Apollo, Fortis); lower in government hospitals (AIIMS, ₹20,000–₹50,000).
- Surgeon’s Expertise: Experienced gynecologists or urogynecologists charge more.
- Additional Costs: Anesthesia (₹10,000–₹20,000), hospital stay (₹5,000–₹15,000/day), mesh (₹10,000–₹30,000, if used).
- Insurance: Covered for symptomatic prolapse; confirm with your provider.
Uterine Prolapse Surgery Procedure
- Before Surgery Evaluation:
- Diagnosis:
- Pelvic exam: Assesses prolapse stage (POP-Q system); checks for cystocele/rectocele.
- Urodynamic testing: Evaluates bladder function (e.g., incontinence).
- Ultrasound/MRI (if needed): Rules out other pathology (e.g., fibroids, ovarian cysts).
- Blood tests: Hemoglobin, clotting profile, and kidney/liver function.
- Medications: Stop blood thinners (e.g., aspirin) 5–7 days prior; antibiotics (e.g., cefazolin) pre-surgery.
- Consent: Risks, including recurrence, are explained.
- Diagnosis:
- Surgical Techniques:
- Uterus-Preserving (if fertility desired):
- Sacrohysteropexy:
- Laparoscopic, lasting 1–2 hours, under general anesthesia.
- A mesh is used to anchor the uterus to the sacrum (tailbone), lifting it back into position.
- 3–4 small incisions (0.5–1 cm) in the abdomen; CO2 gas inflates the abdomen for visualization.
- Manchester Procedure (less common):
- Vaginal approach, lasting 1–1.5 hours, under spinal/general anesthesia.
- Cervix is partially amputated, and ligaments are shortened to lift the uterus.
- Sacrohysteropexy:
- Hysterectomy with Prolapse Repair (if fertility not desired):
- Vaginal Hysterectomy with Colporrhaphy:
- Lasting 1–2 hours, under spinal/general anesthesia.
- Uterus is removed through the vagina (no abdominal incisions).
- Anterior colporrhaphy (repairs cystocele) and/or posterior colporrhaphy (repairs rectocele) reinforce vaginal walls.
- Laparoscopic Hysterectomy with Sacrocolpopexy:
- Lasting 2–3 hours, under general anesthesia.
- Uterus removed laparoscopically; mesh anchors the vaginal apex to the sacrum.
- Vaginal Hysterectomy with Colporrhaphy:
- Sacrospinous Ligament Fixation (SSF):
- Vaginal approach, lasting 1–1.5 hours.
- Vaginal apex (post-hysterectomy) or uterus is sutured to the sacrospinous ligament to lift it.
- Intraoperative Tools:
- Laparoscope: Visualizes pelvic structures (laparoscopic).
- Mesh (e.g., polypropylene): Provides support (sacrohysteropexy, sacrocolpopexy).
- Urodynamic monitoring: Ensures bladder function intra-op.
- Uterus-Preserving (if fertility desired):
- After Surgery:
- Hospital stay: 1–2 days (laparoscopic/vaginal); 2–3 days (if extensive repair).
- Pain management: IV analgesics (e.g., morphine) for 1 day, then oral (e.g., ibuprofen).
- Antibiotics: For 1–2 days to prevent infection.
- Catheter: Removed after 1–2 days (to manage urinary retention).
- Instructions: Avoid heavy lifting, straining, or intercourse for 6–8 weeks.
Recovery After Uterine Prolapse Surgery
- Hospital Stay: 1–2 days (laparoscopic/vaginal); 2–3 days (extensive repair).
- Post-Surgery Care:
- Pain: Incision pain (laparoscopic) or vaginal discomfort for 1–2 weeks, managed with analgesics.
- Activity: Walking within 24 hours to prevent clots; avoid heavy lifting (>5 kg), straining, or strenuous activity for 6–8 weeks.
- Bleeding: Light vaginal spotting for 1–4 weeks; heavy bleeding is abnormal.
- Bladder/Bowel: Catheter removal in 1–2 days; normal function resumes in 1–2 weeks; laxatives for constipation.
- Intercourse: Avoid for 6–8 weeks until healed.
- Pelvic floor exercises: Start after 6 weeks to strengthen muscles (under physiotherapy guidance).
- Diet: High-fiber foods (e.g., fruits, vegetables) and 2–3 liters water daily to prevent constipation.
- Follow-Up:
- Visit at 1–2 weeks for wound check; 6–8 weeks for recovery assessment.
- Urodynamic testing (if incontinence persists): At 3 months.
Most resume normal activities in 4–6 weeks (vaginal/laparoscopic); full recovery takes 6–8 weeks. Symptom relief: 80–90% experience improved pelvic pressure and urinary symptoms; 70–85% report better quality of life.
Risks and Complications
- Surgical Risks:
- Bleeding (2–5%): 1–2% may need transfusion; rare reoperation.
- Infection (2–5%): Wound, urinary tract, or pelvic; treated with antibiotics.
- Blood clots (1–2%): Deep vein thrombosis (DVT); early ambulation reduces risk.
- Organ Injury:
- Bladder/ureter injury (1–2%, laparoscopic): May need repair or stenting.
- Bowel injury (<1%): Rare, requires surgical correction.
- Mesh-Related (if used):
- Mesh erosion (2–5%): Mesh exposure in the vagina, causing pain or discharge; may need removal.
- Chronic pain (1–3%): Due to mesh irritation; may require revision surgery.
- Long-Term:
- Recurrence (10–20% within 5 years): Higher in younger women or with ongoing risk factors (e.g., obesity, constipation).
- Urinary incontinence (5–10%): New or persistent; may need additional surgery (e.g., sling).
- Dyspareunia (5–10%): Painful intercourse due to vaginal shortening or scarring; improves with time or therapy.
- Emotional impact: 5–10% experience grief (if hysterectomy performed); counseling helps.
Report fever, severe pain, heavy bleeding, difficulty urinating, or vaginal discharge promptly.
Frequently Asked Questions (FAQs)
What causes uterine prolapse?
Weakened pelvic floor muscles from childbirth, aging, menopause (low estrogen), obesity, chronic constipation, or heavy lifting.
Can I avoid surgery for uterine prolapse?
Yes, for mild cases (stage I–II): 50–70% improve with pelvic floor exercises (Kegels), pessary (vaginal support device), or lifestyle changes (e.g., weight loss, avoiding straining).
Will I lose my uterus?
Not always; uterus-preserving options (e.g., sacrohysteropexy) exist if fertility is desired; hysterectomy is common for severe prolapse in older women.
How soon can I resume activities?
Light activities in 1–2 weeks; normal routines in 4–6 weeks; full recovery in 6–8 weeks.
Is uterine prolapse surgery covered by insurance in India?
Yes, for symptomatic prolapse; confirm with your provider.
Signs of complications?
Fever, severe pain, heavy bleeding, difficulty urinating, or unusual vaginal discharge.
Will surgery affect sexual function?
Most women (80–90%) report improved sexual function (due to symptom relief); 5–10% may experience dyspareunia, often temporary.
Lifestyle changes post-surgery?
Avoid heavy lifting/strain long-term, maintain healthy weight, do pelvic floor exercises, manage constipation, and attend follow-ups.
Conclusion
Uterine prolapse surgery effectively corrects prolapse, improves symptoms, and enhances quality of life, with options to preserve or remove the uterus based on patient needs. India’s top hospitals (Apollo, Fortis, AIIMS) provide affordable, expert care. Understanding the procedure, costs, recovery, risks, and FAQs helps patients approach surgery confidently. Consult a gynecologist or urogynecologist for personalized guidance and optimal outcomes.
Looking for Best Hospitals for Uterine prolapse surgery
Note: we are not promoting any hospitals
we are not promoting any hospitals we sourced all the details from google and hospitals website, please verify and start with your surgery here we go the list includes government, budget and superspeciality hospitals accreditation bodies are the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₹) | Maximum Price (₹) |
|---|---|---|
Agra |
60,000 |
1,80,000 |
Ahmedabad |
80,000 |
2,00,000 |
Ajmer |
60,000 |
1,80,000 |
Aligarh |
60,000 |
1,80,000 |
Allahabad |
60,000 |
1,80,000 |
Amritsar |
70,000 |
1,90,000 |
Aurangabad |
70,000 |
1,90,000 |
Bangalore |
80,000 |
2,00,000 |
Bareilly |
60,000 |
1,80,000 |
Belgaum |
70,000 |
1,90,000 |
Bhopal |
70,000 |
1,90,000 |
Bhubaneswar |
70,000 |
1,90,000 |
Bikaner |
60,000 |
1,80,000 |
Chandigarh |
80,000 |
2,00,000 |
Chennai |
80,000 |
2,00,000 |
Coimbatore |
80,000 |
2,00,000 |
Dehradun |
70,000 |
1,90,000 |
Delhi |
80,000 |
2,00,000 |
Dhanbad |
60,000 |
1,80,000 |
Durgapur |
60,000 |
1,80,000 |
Faridabad |
80,000 |
2,00,000 |
Ghaziabad |
80,000 |
2,00,000 |
Gorakhpur |
60,000 |
1,80,000 |
Guntur |
70,000 |
1,90,000 |
Gurgaon |
80,000 |
2,00,000 |
Guwahati |
70,000 |
1,90,000 |
Gwalior |
60,000 |
1,80,000 |
Hyderabad |
80,000 |
2,00,000 |
Indore |
70,000 |
1,90,000 |
Jabalpur |
60,000 |
1,80,000 |
Jaipur |
80,000 |
2,00,000 |
Jalandhar |
70,000 |
1,90,000 |
Jamshedpur |
70,000 |
1,90,000 |
Jodhpur |
60,000 |
1,80,000 |
Kanpur |
60,000 |
1,80,000 |
Kochi |
80,000 |
2,00,000 |
Kolkata |
80,000 |
2,00,000 |
Kollam |
70,000 |
1,90,000 |
Lucknow |
70,000 |
1,90,000 |
Ludhiana |
80,000 |
2,00,000 |
Madurai |
70,000 |
1,90,000 |
Mangalore |
70,000 |
1,90,000 |
Meerut |
60,000 |
1,80,000 |
Moradabad |
60,000 |
1,80,000 |
Mumbai |
80,000 |
2,00,000 |
Mysore |
80,000 |
2,00,000 |
Nagpur |
70,000 |
1,90,000 |
Nashik |
70,000 |
1,90,000 |
Navi Mumbai |
80,000 |
2,00,000 |
Noida |
80,000 |
2,00,000 |
Patna |
60,000 |
1,80,000 |
Pune |
80,000 |
2,00,000 |
Raipur |
70,000 |
1,90,000 |
Rajkot |
70,000 |
1,90,000 |
Ranchi |
60,000 |
1,80,000 |
Surat |
80,000 |
2,00,000 |
Thane |
80,000 |
2,00,000 |
Vadodara |
70,000 |
1,90,000 |
Varanasi |
60,000 |
1,80,000 |
Visakhapatnam |
70,000 |
1,90,000 |
Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.