Prolapsed uterus treatment
Prolapsed uterus treatment includes pelvic floor exercises, lifestyle changes, vaginal pessary, hormone treatment, and vaginal surgery.
Treatment for a uterine prolapse will depend on the extent of your uterine prolapse, your health and if you are planning for a future pregnancy.
What is uterine prolapse?
A uterine prolapse is when your uterus drops down into or towards your vagina.
What causes a prolapsed uterus?
A prolapsed uterus is caused by weakening pelvic floor muscles and ligaments that are no longer able to support your uterus.
There are several factors that can contribute to your pelvic muscles to be less supportive. These include:
- Pregnancy and childbirth - especially if you had a difficult birth or you gave birth to many or large babies.
- Lower oestrogen levels post menopause
- Chronic coughing
- Chronic constipation or straining
- Heavy lifting
Prolapsed uterus symptoms
If you have a mild prolapsed uterus you may not have any symptoms.
You may have symptoms if you have moderate to severe uterine prolapse including:
- a sensation of heaviness and pressure in your the vagina
- a lump or bulge within or protruding from your vagina
- pain or numbness during sex
- urinary problems such as incontinence or the need to urinate frequently or urgently
Symptoms may worsen during the day if you stand or walk for long periods of time as gravity places extra pressure on your pelvic muscles.
Prolapsed uterus treatment options will be discussed after a pelvic examination and a diagnosis is made.
Recommended uterine prolapse treatment is based on the severity of your uterine prolapse and symptoms, your health and age, and if you are planning to have children in the future.
Treatment for uterine prolapse includes:
- Non-surgical prolapsed uterus treatment
- Lifestyle changes – such as losing weight if you're overweight, high-fibre diet to prevent constipation, no heavy lifting, avoiding high-impact exercise, and stopping smoking.
- Pelvic floor strengthening exercises – often the first line of treatment. A physiotherapist-guided program will strengthen your pelvic floor muscles.
- Oestrogen cream, tablet or vagina ring – if you have a mild prolapse and have been through the menopause, oestrogen may be recommended to ease some of your symptoms.
- Vaginal pessary - a rubber or plastic device which can be fitted into the vagina to support your uterus and relieve symptoms.
- Surgical prolapsed uterus treatment
Surgery may be needed in some cases. There are several types of prolapse surgery that include:
- Surgical repair with stitches or vaginal mesh – to restore your pelvic organs to their original position. It can be performed through the vagina or abdomen, or laparoscopically. Your pelvic organs are lifted, repaired and supported using stitches, or a piece of synthetic mesh is inserted to hold your pelvic organs in place. Vaginal mesh surgery may be offered at the same time or after a hysterectomy for additional vaginal wall support or to younger women who do not want to have a hysterectomy.
- Hysterectomy – for some women, the most effective treatment for a prolapsed uterus is to have it removed. This is only suited to women who have been through the menopause or do not wish to have any more children.
- Closing part or all of the vagina - to prevent organs from moving into your vagina. This is only offered to women with an advanced prolapse, when other treatments have not worked, and they do not plan to have sexual intercourse again in the future.
What is the cost of prolapsed uterus treatment?
The cost of a prolapsed uterus procedure will depend on your recommended treatment and your Ramsay hospital of choice.
Our guide package price for surgical repair with stitches (colporrhaphy) is £xx.
Our guide package price for hysterectomy surgery is £xx.
These are guide package prices that estimate the costs of your surgery. You will receive a formal quotation price following your consultation with one of our expert surgeons. This formal quote for your prolapsed uterus treatment will be valid for 60 days and includes unlimited aftercare.
We have a number of finance options if you are paying for your prolapsed uterus treatment yourself. These include:
- Interest-free finance - requires no deposit, offers the ability to pay in monthly instalments, and benefits from 0% interest
- Al-inclusive Total Care - a single one-off payment at a pre-agreed price that delivers direct access to all the treatment you need for complete reassurance
- Pay as you go – a flexible funding option if your treatment costs are difficult to assess, that allows you to meet your treatment costs as and when they arise.
Prolapsed uterus treatment surgery is covered by most medical insurance policies. A physiotherapist-guided pelvic floor strengthening program may be covered by your medical insurance. We advise you to check with your insurance provider and obtain their written authorisation before starting your treatment.
Prolapsed uterus treatment at Ramsay Health Care UK
Our caring and compassionate urogynaecology teams at Ramsay Health Care UK offers prompt and convenient appointments. You can discuss your prolapsed uterus with expert urogynaecologists, gynaecologists and urologists and rest assured you will have a thorough evaluation of your symptoms and reliable recommended treatment options.
Our qualified physiotherapists will assess your individual situation and develop a personalised treatment program of pelvic floor exercises to help strengthen these muscles.
A prolapsed uterus is a common condition and we regularly perform treatment surgeries. We use laparoscopic (keyhole) surgery whenever possible to reduce scarring and recovery times.
We have safety measures in place for infection prevention and control to keep you safe whilst you visit us for appointments or treatment. We keep in touch with you virtually, have optimum and efficient patient flow directions and processes in the hospitals, operate social distancing and PPE in our waiting areas, and have high level and frequent cleaning at the common touchpoint areas.