Comprehensive Pelvic Organ Prolapse Care
Pelvic organ prolapse occurs when weakened muscles allow organs (bladder, uterus, bowel) to descend and bulge into the vagina. It's common, treatable, and significantly affects quality of life. Dr. Libby offers the full spectrum of treatment—from conservative approaches to minimally invasive robotic surgery—tailored to your needs and goals.
When Is Surgery Needed?
Surgery becomes appropriate when prolapse symptoms are severe, conservative treatment fails, or you prefer a definitive solution. Dr. Libby discusses pros and cons of each approach so you make an informed decision.
Robotic Sacrocolpopexy (Advanced Surgical Option)
Sacrocolpopexy is considered the gold standard for pelvic organ prolapse repair. Using the da Vinci robot, Dr. Libby makes several small incisions (minimally invasive). He places mesh to suspend and reanchor the vagina, bladder, and other organs back to the sacrum (tailbone). This restores normal anatomy and pelvic support.
Robotic Sacrocolpopexy Benefits:
- Excellent long-term success rate with very low recurrence
- Minimally invasive—small incisions, less pain and recovery time
- Durable results that last 10+ years
- No limitations on future pregnancy (though vaginal delivery not recommended)
- Preserves or improves sexual function
Recovery:
Most patients go home the same day or next morning. Full recovery takes 2-4 weeks. Light activity resumes within a week; normal activity within 4-6 weeks. Most report dramatic improvement in prolapse symptoms.
Pessary Treatment
A pessary is a removable silicone device inserted into the vagina to support prolapsing organs. It's non-surgical, reversible, and often very effective. Some women wear pessaries long-term; others use them while training pelvic floor muscles. Dr. Libby fits pessaries in the office and teaches insertion/removal and cleaning.
Pelvic Floor Physical Therapy
Specialized PT strengthens and coordinates pelvic floor muscles. For mild to moderate prolapse, PT can significantly improve symptoms and postpone or eliminate need for surgery. Dr. Libby may refer you to a specialized pelvic floor PT.
Living After Surgery
After sacrocolpopexy, you'll feel dramatic relief from prolapse symptoms—heaviness, pressure, and bulging resolve. Sexual function improves in many women. You can return to exercise and normal activities. Avoiding heavy lifting long-term helps maintain support. Most women report excellent quality of life after surgery.