Surgical Methods for Pelvic Organ Prolapse

Laparoscopic Burch Procedure

Stress urinary incontinence occurs when the support for the bladder and urethra are weak or damaged. The Burch procedure supports the tissue on the sides of the urethra with permanent suture. This procedure is considered to be the Gold Standard for urinary incontinence procedures and will have a success rate of approximately eighty-five percent. The Burch procedure is most often done with an abdominal incision but can be done laparoscopically with similar results.

Laparoscopic Paravaginal Repair

When the support for the bladder is damaged, the bladder drops creating a cystocele. The paravaginal repair will fix the tissue which supports the bladder. This procedure is most often performed in tandem with the Burch procedure which supports the urethra. This surgery can be performed laparoscopically.

Laparoscopic Vaginal Vault Suspension

When the top of the vagina falls down through the opening of the vagina it can be replaced at the level of the original support structures. This can be done laparoscopically by attaching the top of the vagina on the inside of the pelvic to the original site of attachment and reconstruct the anatomy of the vagina.

Vaginal Cystocele/Rectocele Repair

When the support structures to the bladder or rectum are damaged, often the repair of this tissue can be performed through the vagina. (Vaginal Suspension of Vaginal Vault).

Following the removal of the uterus and cervix, the vagina can be supported by attachment to  undamaged support tissue. This will reconstruct the top of the vagina to the original strong support structures.