Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Gynaecology · Pelvic Floor
Uterine Prolapse Treatment in Hyderabad: Pelvic Floor Repair at Lux Hospitals
Uterine prolapse is the descent of the uterus into the vagina when the ligaments and muscles supporting it give way. It causes a sensation of something coming down, worse by the end of the day, and often a bulge that can be felt.
It is common after childbirth and around the menopause, and it is one of the conditions women most often endure in silence for years. Our gynaecologists at Lux Hospitals, HITEC CITY grade it properly and offer everything from pelvic floor therapy to uterus-sparing surgery.
- Non-Surgical Options First
- Uterus-Sparing Surgery
- Women Gynaecologists
What is Uterine Prolapse?
Uterine prolapse occurs when the ligaments and pelvic floor muscles that hold the uterus in position weaken, allowing it to descend into the vaginal canal. The uterosacral and cardinal ligaments do most of the suspending work, and when they stretch or tear the uterus drops under gravity and abdominal pressure.
It is graded by how far the descent has gone. Grade one is descent into the upper vagina. Grade two brings the cervix to the vaginal opening. Grade three protrudes the cervix beyond the opening. Grade four, procidentia, is complete descent of the entire uterus outside the body. The grade largely determines whether conservative treatment is realistic.
Prolapse rarely affects one compartment alone. The same weakened support frequently allows the bladder to descend into the front vaginal wall as a cystocele, and the rectum into the back wall as a rectocele. Assessing all three at once is what prevents repairing the uterus and leaving a bladder prolapse to become symptomatic six months later.
Causes of Uterine Prolapse
Prolapse results from cumulative damage to the pelvic support tissues over a lifetime.
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Vaginal childbirth
The single largest factor. Prolonged labour, instrumental delivery and large babies stretch and tear the supporting structures, and risk rises with each delivery.
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Menopause
Falling oestrogen thins and weakens the connective tissue and pelvic floor. Many women find prolapse becomes symptomatic in the years around menopause.
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Chronic straining
Long-standing constipation, chronic cough and repeated heavy lifting steadily push the pelvic organs downward.
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Obesity
Sustained additional weight increases the constant load the pelvic floor carries.
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Heavy manual work
Occupations involving repeated lifting are a recognised and significant contributor, particularly over years.
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Connective tissue disorders
Conditions affecting collagen make prolapse more likely and earlier, and explain cases in women who have never given birth.
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Ageing and genetics
Tissue strength declines with age, and a family history of prolapse raises risk independently of childbirth.
Chronic constipation is the most modifiable factor and the most consistently ignored. Years of straining on the toilet does real damage to pelvic support, and treating it is both simple and preventive.
Symptoms of Uterine Prolapse
Symptoms characteristically worsen through the day and ease on lying down, which is a useful diagnostic clue.
Common symptoms
- A sensation of something coming down or falling out
- A bulge or lump that can be felt or seen
- Heaviness or dragging in the pelvis
- Symptoms worse on standing and better lying down
- Lower back ache
- Discomfort or difficulty during intercourse
Bladder and bowel symptoms
- Difficulty emptying the bladder completely
- Needing to push the bulge back to pass urine or open bowels
- Leaking urine on coughing or lifting
- Recurrent urinary tract infections
- Constipation or incomplete bowel emptying
- Vaginal discharge or bleeding from an exposed cervix
Where the cervix protrudes outside the body it rubs against clothing and can ulcerate, causing discharge and bleeding. That needs treating rather than tolerating, and it is a clear indication to be seen.
How Uterine Prolapse is Assessed
Diagnosis is clinical. The assessment establishes the grade, checks the other compartments and evaluates bladder function.
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Pelvic examination
Examined lying and standing, and while straining, since prolapse is often considerably more apparent upright than on the couch.
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POP-Q staging
A standardised measurement of each vaginal compartment, allowing objective comparison over time and after surgery.
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Assessing all compartments
Checking for bladder and rectal prolapse alongside the uterus, so the repair addresses everything that has descended.
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Post-void residual measurement
Ultrasound measurement of urine remaining after voiding, which explains recurrent infections and influences the surgical plan.
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Urodynamic studies
Where incontinence coexists, and specifically to detect occult stress incontinence that a large prolapse may be masking.
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Cervical screening and endometrial assessment
An up-to-date smear, and endometrial assessment where there is abnormal bleeding, before any surgery is planned.
A large prolapse can kink the urethra and hide stress incontinence entirely. Repairing it sometimes unmasks leaking that was not there before, which is why this is tested for and discussed in advance rather than discovered afterwards.
Treatment Options
Mild prolapse is managed conservatively. Surgery is for symptoms that conservative measures have not controlled.
Non-surgical
Conservative management
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Pelvic floor muscle training
Supervised, correctly performed exercises. Genuinely effective for grade one and two prolapse, and considerably more so with a physiotherapist than from a leaflet.
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Vaginal pessary
A silicone ring or shelf fitted to support the uterus. Effective at any grade, avoids surgery entirely, and is a reasonable permanent solution.
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Vaginal oestrogen
Local oestrogen after menopause improves tissue quality and comfort. Used alone and also before surgery to improve healing.
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Weight management
Reducing weight lessens the constant load on the pelvic floor and measurably improves symptoms.
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Treating constipation and cough
Fibre, fluids and stool softeners to end straining, and proper treatment of chronic cough. Both slow progression.
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Activity modification
Avoiding heavy lifting where possible, with guidance on technique where it cannot be avoided.
Surgical
Repair procedures
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Vaginal hysterectomy with vault support
The uterus removed through the vagina and the vault suspended to the uterosacral ligaments. The traditional operation where family is complete.
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Sacrospinous fixation
The vaginal vault or cervix fixed to the sacrospinous ligament through a vaginal approach, restoring support without an abdominal incision.
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Sacrohysteropexy
The uterus suspended to the sacrum laparoscopically, preserving it entirely. The uterus-sparing option for women who want to keep it.
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Manchester repair
The cervix shortened and the cardinal ligaments plicated, preserving the uterus. Suitable for prolapse with cervical elongation.
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Combined compartment repair
Anterior and posterior vaginal wall repairs performed alongside, addressing bladder and rectal prolapse in the same operation.
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Colpocleisis
Closure of the vaginal canal: a short, very effective operation for frail elderly women no longer sexually active.
Sacrohysteropexy is worth knowing about. Hysterectomy is not the only surgical answer to uterine prolapse, and a woman who wants to keep her uterus has a genuine and durable alternative.
The Prolapse Repair Procedure
Repair takes sixty minutes to two and a half hours depending on how many compartments are involved.
Vaginal or laparoscopic surgery under spinal or general anaesthesia
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Pre-operative preparation
Any urinary infection treated, vaginal oestrogen used for several weeks beforehand to improve tissue quality, and bloods and anaesthetic review completed.
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Anaesthesia and positioning
Spinal or general anaesthesia, positioned in lithotomy. A catheter is placed for the duration of the operation.
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Assessment under anaesthesia
The full extent of prolapse in every compartment reassessed once the muscles are relaxed, which often reveals more than examination in clinic.
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The main repair
Either vaginal hysterectomy with vault suspension, or uterus-sparing suspension to the sacrospinous ligament or sacrum.
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Securing the apex
Apical support is the step that determines durability. A repair that fixes the walls but not the apex is the commonest reason prolapse recurs.
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Repairing other compartments
Anterior and posterior vaginal wall repairs as needed, with conservative trimming of vaginal skin to avoid narrowing.
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Closure and packing
The vaginal wall closed with absorbable sutures and a pack placed for a few hours, removed with the catheter the following day.
Apical support is what makes a prolapse repair last. Repairing the vaginal walls without suspending the top is the classic reason a woman is back with recurrent prolapse within a couple of years.
Why Choose Lux Hospitals for Uterine Prolapse Treatment?
Prolapse is best treated by starting with the least invasive option that works. Here is why patients trust us:
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Uterus-sparing surgery offered
Sacrohysteropexy and Manchester repair available, so hysterectomy is a choice rather than the only route.
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Every compartment assessed
Bladder and rectal prolapse checked alongside the uterus, and occult incontinence specifically tested for before surgery is planned.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Most women go home within two to three days and return to desk work at three to four weeks.
- Days 1–3
Pack and catheter removed the day after surgery, bladder emptying checked, and discharge once you are passing urine comfortably.
- Days 3–14
Vaginal discharge and light bleeding are expected. Walking encouraged; lifting and straining strictly avoided.
- Weeks 2–4
Most women return to desk work. Discharge settles. Driving once you can perform an emergency stop comfortably.
- Weeks 4–6
Follow-up examination confirms the repair is holding. Light exercise resumes gradually.
- Weeks 6–12
Intercourse resumes after clearance at six weeks. Full activity, with permanent care over heavy lifting.
Aftercare
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Avoid heavy lifting for six weeks
Nothing over five kilograms. The repair depends on healing under no load, and early lifting is the commonest cause of early failure.
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Prevent constipation actively
Fibre, fluids and a stool softener from day one. Straining on the toilet after a prolapse repair directly threatens it.
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Continue pelvic floor exercises for life
Restarted once healing allows and continued permanently. They protect the repair and reduce prolapse elsewhere.
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Have a pessary reviewed regularly
If you are managing with a pessary instead of surgery, it needs removing, cleaning and checking every three to six months to prevent erosion.
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No intercourse for six weeks
The vaginal wall and the suspension need full healing time. Resume only after your follow-up confirms it.
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Report fever, heavy bleeding or retention
Fever, offensive discharge, heavy bleeding, or an inability to pass urine after discharge all need review rather than waiting.
Prolapse can recur, particularly where the underlying causes persist. Treating constipation, avoiding heavy lifting and keeping up pelvic floor exercises is what makes the difference between a repair that lasts and one that does not.
When Should You See a Gynaecologist?
Book a consultation if any of the following apply.
- A sensation of something coming down, worse by the end of the day.
- A bulge or lump you can feel or see at the vaginal opening.
- Difficulty emptying your bladder, or needing to push to pass urine.
- Recurrent urinary tract infections.
- Discharge or bleeding from a cervix that protrudes outside.
- Lower back ache with pelvic heaviness.
Cost of Uterine Prolapse Treatment in Hyderabad
Conservative treatment costs very little, and for many women it is all that is needed.
| Procedure | Estimated Cost |
|---|---|
| Consultation Includes pelvic examination | ₹800 – ₹1,500 |
| Assessment and urine tests Culture, residual volume, ultrasound | ₹2,000 – ₹5,000 |
| Urodynamic study Where incontinence coexists | ₹8,000 – ₹16,000 |
| Pessary fitting Includes the device and fitting | ₹5,000 – ₹12,000 |
| Pelvic floor physiotherapy Per session; eight to twelve sessions | ₹800 – ₹2,000 |
| Vaginal hysterectomy with repair Two to three nights | ₹1,50,000 – ₹2,60,000 |
| Sacrospinous fixation Uterus-sparing; vaginal approach | ₹1,40,000 – ₹2,40,000 |
| Laparoscopic sacrohysteropexy Uterus preserved; includes mesh | ₹2,20,000 – ₹3,60,000 |
What changes the estimate
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Conservative or surgical
A pessary at ₹5,000–₹12,000 resolves symptoms for many women indefinitely, without any operation at all.
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How many compartments
Repairing uterus, bladder and rectum together costs more than one alone, but far less than separate operations later.
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Whether the uterus is preserved
Uterus-sparing suspension is technically more demanding than hysterectomy and, laparoscopically, uses mesh: both adding to the cost.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Gynecology & Obstetrics Treatments
Our Surgeons
Uterine Prolapse Specialists at Lux Hospitals
The gynaecologists who treat uterine prolapse at our HITEC CITY hospital.
-
Dr. Harshita Kakarla
Consultant Gynaecologist & Advanced Laparoscopic Surgeon
MBBS, MS, FMAS
16 years experience
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Dr. Ashwani Narla
Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon
MBBS, MS (Obstetrics & Gynaecology)
11 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from women treated for gynaecological conditions at Lux Hospitals, Hyderabad.
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Got Questions?
Frequently Asked Questions
Common questions about uterine prolapse, pessaries, surgery and costs at Lux Hospitals.
What causes uterine prolapse?
Weakening of the ligaments and pelvic floor muscles that hold the uterus in place. Vaginal childbirth is the largest factor, particularly prolonged labour, instrumental delivery or a large baby, with risk rising with each delivery. Menopause, chronic constipation, chronic cough, obesity and heavy lifting all contribute.
Is uterine prolapse dangerous?
It is not life-threatening. What it does is affect quality of life considerably: comfort, bladder and bowel function, exercise and intimacy. Where the cervix protrudes outside it can ulcerate and bleed, and incomplete bladder emptying causes recurrent infections. Those are the reasons to treat it.
Can uterine prolapse be treated without surgery?
Often, yes. Supervised pelvic floor muscle training is genuinely effective for grade one and two prolapse. A vaginal pessary supports the uterus mechanically, is fitted in a single outpatient visit, works immediately and suits any grade. Vaginal oestrogen after menopause improves tissue quality alongside either.
Do I have to have a hysterectomy?
No. Uterus-sparing operations exist and work well: laparoscopic sacrohysteropexy suspends the uterus to the sacrum, and the Manchester repair shortens the cervix and plicates the supporting ligaments. If you want to keep your uterus, whether for pregnancy or otherwise, say so, as it changes which operation is planned.
Can uterine prolapse return after treatment?
It can. Recurrence depends on the type of repair and, importantly, on what happens afterwards: continued heavy lifting, untreated constipation and chronic cough are the main drivers. Repairs that properly suspend the apex last considerably longer than those that only address the vaginal walls.
Is prolapse surgery safe for older women?
Yes, with proper assessment. Vaginal surgery is well tolerated even in frail patients, and can be done under spinal anaesthesia avoiding a general anaesthetic. For elderly women no longer sexually active, colpocleisis is a short, very effective operation with a low complication rate.
How long is recovery after prolapse surgery?
Two to three nights in hospital, with most women back to desk work at three to four weeks. Heavy lifting and intercourse are avoided for six weeks while the repair heals. Full recovery including return to exercise takes around six to twelve weeks.
Can I still get pregnant after prolapse treatment?
A pessary does not affect fertility, and uterus-sparing surgery such as sacrohysteropexy preserves the possibility of pregnancy, though delivery is usually by caesarean and prolapse can recur after a pregnancy. Hysterectomy ends fertility permanently, which is why uterus-sparing options matter if family is not complete.
How much does uterine prolapse treatment cost in Hyderabad?
A pessary fitting is ₹5,000–₹12,000 and pelvic floor physiotherapy ₹800–₹2,000 per session. Vaginal hysterectomy with repair is ₹1,50,000–₹2,60,000, sacrospinous fixation ₹1,40,000–₹2,40,000, and laparoscopic sacrohysteropexy ₹2,20,000–₹3,60,000. Assessment adds ₹2,800–₹6,500.
How can I book an appointment at Lux Hospitals?
You can book by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. The consultation includes a pelvic examination, so allow enough time, and note how your symptoms change between morning and evening: that pattern is genuinely useful.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book a Prolapse Consultation in Hyderabad
Assessment of pelvic organ prolapse with non-surgical options and uterus-sparing repair, and costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032