The pelvic floor muscles that support your urethra and bladder also support other pelvic organs. Weak pelvic floor muscles may cause one or more of your pelvic organs to fall out of place (prolapse). This is called pelvic organ prolapse. During surgery for stress urinary incontinence (SUI), prolapsed organs often can be sewn back into place. One or more extra incisions may be needed to do this. If you need these repairs, your surgeon can discuss them with you.
Cystocele occurs when the bladder sags into the vagina. To fix the problem, the bladder is moved back into its normal position and sewn into place.
Uterine prolapse occurs when the uterus sags into the vagina. The uterus may fall as far as the opening of the vagina. To fix this problem, the uterus is often removed (hysterectomy). In some cases, the uterus may be sewn back into place.
Rectocele occurs when the rectum bulges into the vagina. An enterocele (which is much less common) is when the small intestine bulges into the vagina. During SUI surgery, the bulge in the rectum or small intestine can be fixed.
Vaginal vault prolapse occurs when the walls of the vagina fall in on themselves. It can happen if the uterus has been removed. Surgery can be done to lift the vagina and hold it in place.
Possible Risks and Complications of Surgery
- Blood clots
- Risks of anesthesia
- Damage to nerves, muscles, or nearby pelvic structures
- Prolapse of the pelvic organ or organs ocurring again