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Reconstructive Pelvic Surgery

Corrective surgery options for sagging or bulging of the bladder, urethra, cervix and rectum through the pelvic floor

The goal of Pelvic Reconstructive Surgery is to restore normal pelvic floor anatomy and give you the best possible chance at maintaining a normal quality of life. There are times when a non-surgical approach (vaginal pessary) is not optimum and the patient chooses to have surgery.

The choices and types of surgery that you may consider will depend on:

  • Anatomy
  • Overall health
  • Prior surgeries
  • Current medical conditions
  • Training and skills of the surgeon

When considering these surgeries, the doctor will engage you in a detailed discussion about all of these issues, along with your lifestyle, activity goals (including sexual function) and any risks.

The surgical procedures may be minimally-invasive, where small incisions are made in the abdomen, and may be performed laparoscopically or with the robot-assisted da Vinci. Other procedures may be performed through an incision in the vagina or the abdominal cavity. The surgeon will discuss these various approaches with you.

In addition to the surgery, your doctor may recommend pelvic floor muscle rehabilitation (Incon Therapy) as a complement to surgery. This relationship is similar to the role of physical therapy in orthopedics. You should discuss this option with your healthcare provider to determine if Incon Therapy would assist in your treatment and recovery.

Surgical Procedures to Correct Pelvic Prolapse

Alphabetic listing of the various procedures that may be used for pelvic floor reconstruction and to correct various forms of pelvic prolapse.

Reconstructive Procedures

  • Cystocele repair (fallen bladder)
  • Labiaplasty
  • Perineoplasty
  • Rectocele repair (fallen rectum)
  • Sling Procedures for Urinary Incontinence
  • Uterine Prolapse Repair
  • Vaginal Hysterectomy
  • Vaginal Prolapse Repair

For more information on Pelvic Floor Disorders, Pelvic Prolapse and Treatment:

Cleveland Clinic’s Pelvic Organ Prolapse and Incontinence Treatment Guide (Cleveland Clinic website)
Pelvic Organ Prolapse (
Reconstructive Pelvic Surgery (

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