What to expect from pelvic floor repair surgery for pelvic organ prolapse

Pelvic organ prolapse happens when one or more pelvic organs press into or descend towards the vagina because supporting tissues have weakened. Your surgeon identifies which compartments are affected, discusses non-surgical options and considers urinary, bowel and sexual symptoms before recommending an operation. Repair may involve the vaginal wall, an attachment supporting the top of the vagina, or more than one area.

Following surgery, you may have pelvic soreness, light vaginal bleeding, altered bowel movements or temporary urinary symptoms. The team explains pain relief, hygiene, catheter care if needed, and the schedule for review.

Plan for assistance with household tasks and childcare while lifting is restricted. Walk gently as advised, avoid straining on the toilet, and use fluids, fibre or prescribed bowel support to keep stools soft. Do not place anything in the vagina or resume demanding exercise until your surgeon confirms healing. Keep follow-up visits even if the original pressure symptoms have improved.

Get prompt advice for heavy bleeding, fever, increasing pelvic pain, foul discharge, inability to urinate or open your bowels, new leg swelling or breathing trouble. A new bulge, pressure symptom or persistent bladder or bowel change should be reported at follow-up or sooner if severe.

Ask which organs and support tissues are involved, what alternatives exist, how recovery affects work and sex, and which warning signs need same-day contact.