Not every pelvic organ prolapse requires surgery. The appropriate treatment depends on the type and degree of prolapse, the symptoms, and the individual clinical findings.

Treatment options range from conservative measures to modern reconstructive surgical procedures.

Conservative Treatment

For milder symptoms, or when surgery is not required or desired, several conservative options are available:

• targeted pelvic floor training and physiotherapy
• pessary treatment to provide mechanical support for the pelvic organs
• local vaginal estrogen therapy after menopause when medically appropriate
• modification of everyday factors that place additional strain on the pelvic floor

An individually fitted pessary, in particular, can provide effective symptom relief for many patients without the need for surgery.

Surgical Treatment

For more pronounced symptoms, or when conservative treatment does not provide sufficient improvement, surgical reconstruction of the pelvic floor may be appropriate.

The choice of surgical technique depends on which areas of the pelvic floor are affected. Different reconstructive procedures can be considered according to the individual findings.

Depending on the condition, surgery may be performed vaginally, laparoscopically, or using robot-assisted techniques.

The aim is to restore the anatomy as effectively as possible while also considering the function of the bladder, bowel, and pelvic floor.

Preserving the Uterus

Surgery for pelvic organ prolapse does not automatically require removal of the uterus.

When medically appropriate and desired by the patient, uterus-preserving surgical procedures may be considered. The most suitable approach is selected following careful diagnostic assessment.

Dr. Arsenakis combines his many years of urogynecological experience with his expertise in minimally invasive and robotic surgery, allowing both conservative and surgical treatment options to be used in a targeted manner.

The aim of treatment is not simply to correct an anatomical finding – but to achieve lasting improvement in function, symptoms, and quality of life.