Vaginal Hysterectomy + Pelvic Floor Repair

Many women experience pelvic health issues such as uterine prolapse, urinary incontinence, or vaginal laxity—often due to childbirth, aging, or hormonal changes. These conditions can significantly impact quality of life, causing discomfort, difficulty with bladder and bowel function, and reduced sexual satisfaction. In such cases, a vaginal hysterectomy combined with pelvic floor repair can offer lasting relief and restore normal function.

Led by an expert like Dr. Rajani Vaidya, a specialist in Gynaecology, Laparoscopy, and Robotic Surgery, this combined approach provides a minimally invasive and highly effective solution for women struggling with pelvic organ prolapse and related symptoms.

Understanding Vaginal Hysterectomy

A vaginal hysterectomy is the surgical removal of the uterus through the vaginal canal, without any external abdominal incisions. It is often recommended for women with:

Uterine prolapse (descent of the uterus into the vaginal canal)

Abnormal uterine bleeding not responding to medication

Fibroids or adenomyosis

Chronic pelvic pain related to the uterus

This approach is less invasive than abdominal surgery and typically results in less pain, quicker recovery, and no visible scarring.

What Is Pelvic Floor Repair?

The pelvic floor is a group of muscles and connective tissues that support the uterus, bladder, vagina, and rectum. Over time, these structures can weaken or become damaged, especially due to:

Vaginal childbirth

Menopause and hormonal decline

Obesity

Chronic constipation

Repeated heavy lifting

When pelvic organs drop from their normal position, it leads to a condition known as pelvic organ prolapse. Symptoms may include:

A sensation of fullness or pressure in the pelvis

A visible or palpable bulge in the vagina

Difficulty emptying the bladder or bowels

Urinary leakage or urgency

Pain during intercourse

Pelvic floor repair, often performed at the same time as a vaginal hysterectomy, involves reinforcing or reconstructing the weakened muscles and tissues. The goal is to restore normal anatomy and function.

Who Benefits from This Combined Procedure?

You may be a candidate for vaginal hysterectomy with pelvic floor repair if you have:

Uterine prolapse or vaginal vault prolapse

Combined symptoms of abnormal bleeding and pelvic floor dysfunction

Recurrent urinary incontinence or vaginal bulge

No future desire for pregnancy

This approach is ideal for women seeking a comprehensive, minimally invasive treatment that addresses both the source of the problem (the uterus) and its effects (pelvic support weakening).

The Procedure: What to Expect

The surgery is performed under spinal or general anesthesia and generally takes 1–2 hours.

Step-by-Step Overview:

Removal of the Uterus: The uterus is gently detached and removed through the vaginal canal.

Pelvic Floor Repair: The surgeon identifies areas of weakness or prolapse and strengthens them using stitches to reposition organs and support tissues.

Cystocele/Rectocele Repair (if needed): If the bladder (cystocele) or rectum (rectocele) has also prolapsed, these are addressed during the same procedure.

Vault Suspension: If the vaginal apex (top of the vagina) requires support, it is suspended using a patient’s own tissue or synthetic mesh (when appropriate).

Closure and Recovery: No external cuts are made, and the patient is transferred to recovery after the procedure.

Recovery and Aftercare

Most patients experience a smooth recovery with significantly less pain compared to abdominal surgeries. Here's what to expect:

Hospital stay: 1 to 2 days

Return to light activity: Within 1–2 weeks

Full recovery: Usually in 4–6 weeks

Postoperative care: Avoid heavy lifting, strenuous activity, and sexual intercourse until cleared by your doctor

Improved quality of life: Relief from pelvic pressure, improved bladder function, and better comfort during daily activities

Dr. Rajani Vaidya provides detailed postoperative guidance to ensure proper healing and a safe return to normal activities.

Benefits of This Combined Approach

Choosing to have a vaginal hysterectomy with pelvic floor repair at the same time offers multiple advantages:

Single surgery, one recovery period

No abdominal scars

Effective treatment for both prolapse and uterine conditions

Improved bladder and bowel control

Restored pelvic anatomy and function

Minimal blood loss and low complication rates

This combination also reduces the likelihood of needing repeat surgery in the future.

Take Control of Your Pelvic Health

If you're experiencing discomfort from prolapse, incontinence, or abnormal uterine bleeding, don’t wait to seek help. A vaginal hysterectomy with pelvic floor repair may be the transformative solution you've been looking for.

Book your consultation with Dr. Rajani Vaidya today and reclaim your comfort, health, and confidence—with the care of a trusted expert in women’s wellness.