Dr. R.K. Mishra delivering lecture on female pelvic organ prolapse for October 2021 batch at CAMLS, University of South Florida, USA.

Pelvic organ prolapse (POP) occurs when the tissue and muscles of the pelvic floor no longer support the pelvic organs resulting in the drop (prolapse) of the pelvic organs from their normal position. The pelvic organs include the vagina, cervix, uterus, bladder, urethra, and rectum.

Pelvic organ prolapse is a condition where the pelvic organs, such as the bladder, uterus, or rectum, descend or protrude into the vaginal canal. Laparoscopic surgery can be used to treat pelvic organ prolapse in some cases. Here is an overview of the procedure:

Anesthesia: The patient will be placed under general anesthesia.

Port placement: Several small incisions will be made in the abdomen to allow access for the laparoscope and other instruments. Typically, three to four ports will be placed.

Inspection of the pelvis: The laparoscope, a thin tube with a camera on the end, will be inserted through one of the incisions to allow the surgeon to view the inside of the pelvis.

Reduction of prolapsed organs: The surgeon will identify the prolapsed organs and gently push them back into their normal position.

Suspension of organs: The surgeon will then use specialized instruments to place a mesh or suture material to suspend the organs in their normal position.

Closure of incisions: The incisions will be closed with sutures or surgical glue.

Recovery: The patient will be monitored in the recovery room until they wake up from anesthesia, and then will be transferred to a regular hospital room. They may experience mild pain or discomfort, which can be managed with medication.

Laparoscopic surgery for pelvic organ prolapse is generally associated with less postoperative pain, shorter hospital stays, and quicker recovery times compared to traditional open surgery. However, as with any surgical procedure, there are potential risks and complications, such as bleeding, infection, and injury to surrounding organs. It is important to discuss the risks and benefits of laparoscopic surgery for pelvic organ prolapse with your surgeon to determine if it is the best option for you.