Appointments: 203-227-5125
General inquiries: 203-227-5125

Pelvic Organ Prolapse

Due to weakness of the supporting fibers of the pelvic organs many women suffer from dropping of their uterus, bladder, rectum and other supporting structures.  Symptoms may include pelvic pain, difficulty with urination / leakage of urine, constipation, pain with intercourse or discomfort from tissue bulging out from the vagina.

There are a number of possible approaches in the treatment of pelvic prolapse.  In some cases the vaginal approach is used.  In this approach vaginal incisions are made to correct the defect and restore normal anatomy. In some cases, vaginal tightening with correction of cystocele and rectocele defects can be done in the comfort of our office with sedation and local anesthesia. Correction of perineal relaxation with tightening of the vaginal opening and reshaping of labia can be done at the same time.

For patients who have significant prolapse and are good candidates for laparoscopic surgery the best choice is usually da Vinci laparoscopic sacrocolpopexy or laparoscopic uterosacral ligament colpopexy (No surgical mesh).  These procedures completely restore vaginal anatomy with very low failure rates and are done laparoscopically through four dime-sized incisions. When mesh is necessary, Dr. Ofer uses very soft synthetic mesh to wrap the vagina and elevate it to its youthful location. This provides the most natural feel and minimizes long-term risk by avoiding the use of any mesh inserted vaginally. Dr. Ofer was one of the first doctors in the Tri-State Region to perform da Vinci Sacrocolpopexy.

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