Transvaginal hysterectomy with pelvic floor reconstruction
Return to a full life without pain and discomfort
Prolapse or complete descent of pelvic organs (uterus, vaginal walls) is a serious pathology that occurs due to weakness of the muscles and ligaments of the pelvic floor. Difficult childbirth, constant physical exertion, or age-related changes lead to organs shifting downwards, causing pain, urinary incontinence, and the inability to lead a normal lifestyle.
At St. Luke’s Clinic, we offer the most physiological and minimally traumatic method for solving this problem — transvaginal (vaginal) hysterectomy with simultaneous pelvic floor reconstruction. This operation allows for permanent elimination of the pathology without any abdominal incision.
When is this operation prescribed?
Gynecological surgeons recommend this intervention for women (most often in the premenopausal or menopausal period) who have been diagnosed with:
Complete or incomplete uterine prolapse and vaginal walls extending beyond the genital slit.
Combination of uterine prolapse with bladder prolapse (cystocele) and rectal prolapse (rectocele).
Presence of concomitant uterine pathologies (small fibroids, recurrent endometrial hyperplasia), in which the organ is still subject to removal.
Stress urinary incontinence or persistent bowel problems against the background of prolapse.
What is the essence of the procedure (two stages in one operation)?
This is a complex intervention that solves all pelvic floor problems at once:
Extirpation (removal) of the uterus: The surgeon completely removes the uterus through the natural birth canal (vagina). No incisions are made on the abdominal wall (as in laparotomy), nor even punctures (as in laparoscopy).
Pelvic floor reconstruction (colporrhaphy and levatorplasty): After removing the uterus, the doctor performs plasty of the vaginal walls. He eliminates stretched tissues, strengthens weakened pelvic floor muscles (levators), and returns the bladder and rectum to their natural places.
Main advantages of transvaginal access:
No scars: Ideal cosmetic result, as all manipulations and sutures are inside the vagina.
Minimum pain: The absence of abdominal wall trauma makes the postoperative period practically painless compared to open surgeries.
Fast recovery: Patients can get up on the day of the operation. Discharge from St. Luke’s Clinic hospital occurs on day 2–3.
Restoration of functions: The operation not only eliminates prolapse but also solves the delicate problem of urinary incontinence, normalizes bowel function, and restores comfort in everyday life.
Rehabilitation after surgery
The operation is performed under reliable anesthesia (spinal or general anesthesia). In our comfortable hospital, you will be surrounded by round-the-clock care from medical staff.
In order for a strong and reliable scar to form, which will support the pelvic floor, after discharge it is necessary to:
Do not sit at a right angle (on a hard surface) for 2–3 weeks (you can stand, lie down, or sit on an orthopedic cushion).
Strictly limit weight lifting (no more than 2-3 kg) for 2 months.
Refrain from sexual activity for 1.5–2 months.
Do not let a delicate problem ruin your life. Modern gynecology can solve it quickly and aesthetically. Book a confidential consultation with the surgeons at St. Luke’s Clinic.
