Which specialist performs pelvic floor repair surgery?

A urogynaecologist assesses problems such as pelvic organ prolapse, pressure, difficulty emptying the bladder, or changes in bowel function. The consultation may include a pelvic examination, urine assessment, and discussion of your symptoms, health conditions, previous operations, medicines, and future pregnancy plans. Repair may involve the front or back vaginal wall, the top of the vagina, or another support structure. The recommended operation depends on which tissues are affected and what matters most to you.

Ask your gynaecologist or primary care doctor for referral to a urogynaecologist. Write down pressure, bulging, urinary, bowel, or sexual symptoms and when they interfere with walking, work, exercise, or intimacy. Bring prior operative reports when available. Discuss non-surgical options, the intended repair, anaesthesia, recovery restrictions, bladder and bowel care, and how recurrence or persistent symptoms would be managed.

Arrange an assessment for a new vaginal bulge, pelvic pressure, trouble passing urine, repeated urine leakage, or difficulty emptying the bowel. Seek urgent care for inability to urinate, severe pelvic pain, heavy bleeding, fainting, fever, or a prolapse that becomes very painful or cannot be gently supported. These symptoms need prompt examination rather than waiting for a routine surgical discussion.

Ask what type of prolapse or support problem is present, why repair is being suggested, and which alternatives are reasonable. Ask what the operation aims to improve, what recovery involves, and which symptoms may need separate treatment.