When is pelvic floor repair surgery recommended for pelvic organ prolapse?

A clinician assesses which pelvic organs are involved, how far they have descended, and whether symptoms include pressure, a vaginal bulge, bladder changes, bowel difficulty, or discomfort with activity. Surgery is one option, alongside pelvic floor exercises, a pessary, bowel care, and treatment of contributing problems. The choice depends on your symptoms, examination findings, health, plans for pregnancy, and preferences.

Arrange a gynaecology or uro-gynaecology assessment if symptoms are interfering with walking, exercise, work, intimacy, urination, or bowel movements. Bring a list of treatments tried and describe what improves or worsens the bulge or pressure. Ask whether pelvic floor physiotherapy or a pessary is appropriate before deciding about an operation. Read more about [Pelvic Organ Prolapse](/conditions/pelvic-organ-prolapse/) and [Pelvic Floor Repair Surgery](/treatments/gynaecological-surgery/pelvic-floor-repair-surgery/).

Seek prompt medical advice if a prolapse becomes suddenly painful, cannot be pushed back when a clinician has previously advised this, bleeds, or makes it difficult to pass urine or stool. Urgent care is appropriate for severe pain, inability to urinate, heavy bleeding, fever, or feeling very unwell.

Ask which organ is prolapsing, what non-surgical options remain, what repair is being proposed, how recovery may affect work and exercise, and how future pregnancy could change the plan.