Prolapse repair

Prolapse repair

Surgical treatment of pelvic organ prolapse, to restore comfort and quality of life on a daily basis.

What is it?

Prolapse, commonly known as "pelvic organ descent", corresponds to a weakening of the natural supports of the pelvis, causing the bladder, the uterus or the rectum to descend into the vagina. It manifests as a feeling of heaviness or of a lump, daily discomfort and sometimes associated urinary or digestive problems. When the discomfort becomes significant and physiotherapy is no longer enough, surgery may be offered. Several techniques exist: laparoscopic sacrocolpopexy, which repositions the organs and secures them firmly, or vaginal repairs, with no abdominal scar. The choice depends on the patient's age, anatomy, the organs involved and her expectations. The pre-operative work-up precisely assesses each compartment of the pelvis and looks for associated urinary problems, sometimes with the help of a urodynamic assessment carried out at the clinic's urodynamic testing center. This complete evaluation makes it possible to offer the technique best suited to each situation. At Clinique Pasteur Tunis, prolapse repair benefits from collaboration between the establishment's gynecologists and urologists. The goal is to restore each patient's comfort and confidence in her daily life, with proven techniques and attentive support.
Prolapse repair

When is it indicated?

Feeling of pelvic heaviness or of a vaginal lump

This unpleasant sensation reflects a weakening of the pelvis's natural supports; the procedure repositions the organs and makes the discomfort disappear.

Descent of the bladder (cystocele), the uterus or the rectum

When an organ descends into the vagina, surgery repositions it securely to restore lasting comfort.

Discomfort in daily life or during physical activity

If prolapse limits everyday movements or physical activity, the procedure allows an active life to be resumed with peace of mind.

Urinary problems associated with the prolapse

Prolapse may be accompanied by leakage or difficulty urinating; their management is integrated into the surgical treatment.

Failure or insufficiency of pelvic floor physiotherapy

When physiotherapy sessions are no longer enough to bring relief, surgery takes over for a lasting result.

Preparation

1Complete pelvic assessment with the surgeon
2Urodynamic assessment if urinary problems are associated
3Pre-operative consultations with the surgeon and the anesthesiologist
4Fast for 6 hours before the procedure
5Report all current medications

Procedure

1

Admission on the day of the procedure or the day before

2

General or regional anesthesia depending on the technique

3

Repair by laparoscopy (sacrocolpopexy) or via the vaginal route depending on the case

4

Repositioning and fixation of the organs concerned

5

Checking the solidity of the repair

6

Monitoring in the recovery room, then return to the room

Duration

1 to 2 hours depending on the technique

Aftercare & Recovery

The feeling of heaviness generally disappears within the first weeks. The stay is short and normal activities resume gradually; it is advisable to avoid carrying heavy loads for a few weeks to allow the tissues to consolidate. A follow-up consultation checks the anatomical and functional result.

Risks and side effects

Proven techniques offering lasting results
Temporary discomfort or urinary problems are possible in the first days
Rare long-term recurrences are possible and are watched for during follow-up

These risks remain rare. Your surgeon will inform you in detail before the procedure.

Request a Quote

Contact us to schedule a consultation or receive a personalized quote.

Request a Quote +216 36 402 000

At a glance

Duration: 1 to 2 hours depending on the technique
Preparation: Required
Dedicated specialist team