Uterine prolapse may be treated with
Kegel exercises to strengthen the pelvic muscles,
estrogen creams, and/or a device used to support the uterus (pessary). However,
many women who have uterine prolapse choose to have a
hysterectomy. Unless another health problem is present
that would require an abdominal incision, vaginal hysterectomy is generally the
best approach for treating uterine prolapse.
Pelvic organ prolapse is usually not limited to the uterus, so be
sure to discuss with your health professional any other symptoms you may be
having. If your health professional finds a
enterocele during your routine pelvic exam, the
problem can be repaired during the hysterectomy.
Hysterectomy may relieve some but not all of the problems caused by
uterine prolapse. Pelvic pain, low back pain, or pain with intercourse
(dyspareunia) may persist after surgery. In some cases your symptoms may return
following surgery. The success rate is lower if you have had prior pelvic
surgery or radiation therapy to the pelvis.
Following a hysterectomy, you may be more likely to develop certain
other physical problems, such as weak pelvic muscles and ligaments, which in
turn may cause a
vaginal vault prolapse, or
What else should I know?
Hysterectomy is not an appropriate treatment option for uterine
prolapse if you are not finished with childbearing.
You can control many of the activities that caused your uterine
prolapse or made it worse. After surgery, it is important to avoid smoking,
maintain a healthy weight for your height, avoid constipation, and avoid
activities that put strain on the lower pelvic muscles, such as heavy lifting
or long periods of standing.
Primary Medical Reviewer
Sarah Anne Marshall, MD - Family Medicine
Specialist Medical Reviewer
Kirtly Jones, MD - Obstetrics and Gynecology
July 15, 2010
WebMD Medical Reference from Healthwise
July 15, 2010
This information is not intended to replace the advice of a doctor.
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