ABSTRACT

Uterine prolapse results from the descent of the vaginal apex, cervix, and surrounding connective tissue supports. It is a common problem that can significantly impair a woman's quality of life [1]. Women across the age spectrum are prone to this disorder, particularly those who have undergone vaginal delivery. Beyond meeting the technical challenge of reducing the prolapse bulge with successful long-term results, it is also important for the pelvic reconstructive surgeon to bear in mind that for many women, the uterus represents a valued symbol of sexual and reproductive identity. In this respect, uterine prolapse stands apart from other "hernias" that may occur throughout the body. Rather than adopting a uniform treatment approach for all uterine prolapse cases, surgeons should gain familiarity with a range of strategies, including the use of pessaries and traditional operative techniques that incorporate hysterectomy, and also uterine-preserving repairs.