What to expect from hysterectomy for uterine prolapse

Uterine prolapse happens when pelvic support tissues weaken and the uterus moves down into the vagina. Removing the uterus does not by itself repair every weakened support structure. Your surgeon may combine hysterectomy with a vaginal, bladder, bowel, or pelvic-floor repair, depending on your examination.

The operation may be performed through the vagina or with keyhole or abdominal surgery. The cervix, tubes, and ovaries are discussed separately. The aim is to improve pressure, bulging, or dragging symptoms while preserving comfortable bladder, bowel, and sexual function where possible.

Before surgery, describe bulging, urine leakage, difficulty emptying your bladder or bowel, and sexual symptoms. Ask whether pelvic-floor physiotherapy or a pessary remains suitable. Arrange help at home because bending, lifting, and prolonged standing may be restricted during healing.

Afterwards, light bleeding, pelvic soreness, constipation, and tiredness may occur. Walk gently and follow instructions for wound care, bowel habits, and pelvic-floor exercises. Avoid heavy lifting and vaginal intercourse until the surgical team confirms healing, especially if a vaginal repair was performed.

Seek medical advice for fever, worsening pelvic pain, heavy bleeding, offensive discharge, inability to pass urine, severe constipation, wound problems, or a new painful bulge. Emergency symptoms include chest pain, severe breathlessness, fainting, or a swollen painful leg.

Ask which support repairs are planned, how bladder and bowel symptoms will be assessed, whether the ovaries and cervix will remain, how recurrence will be reduced, and when lifting, exercise, driving, and sex can restart.