Pelvic Floor & Prolapse Surgeries · Ludhiana, Punjab
Advanced laparoscopic prolapse repair — offering faster recovery, better anatomical correction, and minimal scarring with fertility-preserving surgical options.
Uterine prolapse is a condition where the uterus descends from its normal position into the vaginal canal due to weakness of pelvic floor muscles and supporting ligaments. It can range from mild sagging to complete prolapse, where the uterus protrudes outside the vaginal opening. This condition commonly affects women who have had multiple vaginal deliveries, chronic constipation, obesity, or menopause-related hormonal decline. Timely diagnosis and treatment are essential to prevent discomfort and restore pelvic health.
Diagnosis is made through a pelvic examination by a gynecologist and may be supported by:
If untreated, uterine prolapse can lead to persistent pelvic pressure, urinary and bowel problems, and sexual dysfunction, significantly affecting emotional wellbeing, body image, and daily comfort.
Timely treatment restores pelvic health, comfort, and confidence — don't let prolapse affect your quality of life.
For mild cases, non-surgical approaches can provide relief and support:
Pelvic Floor Exercises (Kegels)
Strengthen muscles to support the uterus and improve pelvic floor function.
Pessary Devices
Silicone rings inserted into the vagina to mechanically support the uterus and prevent further descent.
Surgery is recommended when symptoms are moderate to severe or conservative options fail.
Vaginal Hysterectomy with Vault Suspension
In cases where fertility is not required, the uterus is removed vaginally, and the vaginal vault is supported using sutures or ligaments such as uterosacral or sacrospinous fixation.
Advantages: Time-tested procedure, effective in advanced prolapse.
Limitations: Longer recovery, more postoperative discomfort, may shorten vaginal length.
Manchester (Fothergill's) Repair for Fertility Preservation
A traditional uterine-sparing technique for mild-to-moderate prolapse in women who wish to preserve their uterus and fertility.
Procedure
Cervical correction
The elongated cervix is partially amputated to correct its length and restore normal anatomy.
Ligament support
The uterosacral ligaments are brought forward and attached to the front of the cervix, providing strong upward support.
Vaginal wall reinforcement
The vaginal walls are tightened if necessary to reinforce the pelvic floor.
Indications: Uterine prolapse in young women desiring future pregnancy, cervical elongation with uterine descent, mild to moderate uterovaginal prolapse, failure of conservative treatments.
Expected Benefits: Uterus-preserving (allows future childbirth), restores normal anatomy and vaginal length, improves pelvic support, enhances sexual function and comfort.
Modern laparoscopic surgery has revolutionized prolapse management by offering faster recovery, better anatomical correction, and minimal scarring.
The gold standard for post-hysterectomy vault prolapse. A synthetic mesh is fixed to the vaginal vault and attached to the sacral promontory laparoscopically, restoring the natural vaginal axis. The mesh is then covered with peritoneum to prevent adhesions.
Advantages: Strong and long-term support, maintains vaginal length and axis, minimal blood loss, quick recovery and reduced recurrence.
This fertility-preserving procedure is ideal for young women with uterine prolapse who wish to retain their uterus. The uterus is elevated and suspended using a mesh or non-absorbable sutures to the anterior abdominal wall or sacral promontory.
Advantages: Uterus preservation for future pregnancies, short hospital stay and minimal discomfort, improved cosmetic and functional results.
The cervix is suspended to the sacral promontory using a synthetic mesh while preserving the uterus.
Benefits: Uterus-preserving, minimal scarring, durable correction, early return to normal activities.
At Dr. Rama Sofat Hospital, we specialize in advanced laparoscopic prolapse repair including Sacrocolpopexy, Sling Surgery, and Cervicopexy. Our team is trained in Akar's and Khanna's maneuvers, ensuring precision, safety, and world-class results.
Mild prolapse can be managed with pelvic exercises or pessaries, but moderate to severe cases usually need surgical correction for lasting relief.
Yes. It's a highly safe and effective minimally invasive technique with very low complication and recurrence rates.
Yes, uterus-preserving laparoscopic procedures like Khanna's Maneuver allow future pregnancy under specialist supervision.
Most patients resume normal activities within 7–10 days and can return to work in 2 weeks.
No, in fact, most patients experience improved comfort and sexual satisfaction after anatomical correction.
If you are experiencing pelvic heaviness, prolapse symptoms, or urinary issues, book your consultation at Dr. Rama Sofat Hospital, Ludhiana.