When is hysterectomy recommended for uterine prolapse?

Uterine prolapse happens when the tissues supporting the uterus weaken and the uterus moves down towards the vagina. Hysterectomy removes the uterus, but prolapse surgery also needs attention to the supporting tissues so that the vaginal walls or other pelvic organs are supported.

A vaginal support device, pelvic-floor physiotherapy, or changes that reduce straining may help some people. The best option depends on the degree of prolapse, symptoms, health, sexual activity, and whether future pregnancy matters to you.

Describe the bulging sensation, pressure, urine leakage or difficulty emptying the bladder, bowel symptoms, and discomfort during activity. Ask for an examination that assesses all areas of pelvic support. Discuss uterus-preserving surgery, expected recovery, and whether the planned operation also repairs vaginal or bladder support.

Seek prompt care for a prolapse that becomes suddenly painful, cannot be pushed back when your clinician has advised this is safe, bleeds, or prevents urination. Fever, foul-smelling discharge, or severe pelvic pain also needs assessment. Inability to pass urine with severe discomfort warrants urgent care.

Ask which pelvic organs are affected, whether a pessary or physiotherapy could help, what the operation will repair, how it may affect sex and urination, and what recovery restrictions to expect.