Dr Jasdev Singh
Vaginal Hysterectomy with Pelvic Floor Repair
For a prolapsed womb, removing it through the vagina and repairing the supporting tissues can ease symptoms without any cuts on the tummy.
Pelvic Organ Prolapse
Treating womb prolapse through the vagina
When the womb drops into the vagina, it can cause a bulge, a dragging feeling, and bladder or bowel problems. A vaginal hysterectomy removes the womb through the vagina. The pelvic floor is then repaired, often with front or back wall repair and support for the upper vagina.
This approach avoids a tummy wound and usually allows a quicker recovery than open surgery.
Dr Jasdev discusses options that keep the womb, as well as hysterectomy, so you can choose.
Symptoms understood first
Leaking, bulging or discomfort is assessed carefully, including how much it affects your daily life.
Simpler options considered too
Pelvic floor exercises, physiotherapy and other treatments without surgery are discussed alongside operations.
Recovery planned in advance
You will know what to expect after the procedure and when your review is due.
What this surgery may offer
- Relief from womb prolapse symptoms
- Repair of weakened walls in the same operation
- No tummy wound
How your care is planned
Each stage is explained so you understand the cause of your symptoms, your options and what recovery involves. You can take time to decide.
Examine and grade the prolapse
Discuss pessaries, repair that keeps the womb, or hysterectomy
Perform the surgery and support your recovery
How the surgery works
Under anaesthetic, the womb is freed and removed through the vagina. The upper vagina is then supported, often by attaching it to strong ligaments. The front and back walls may be repaired if they are also weak. The operation usually takes one to two hours. A cystoscopy may be done at the end to check the bladder. Dissolvable stitches are used, so there is nothing to remove later.
Who may benefit
Women with womb prolapse causing symptoms who have completed their family, especially if the front or back walls are also weak. Women who prefer to keep the womb can discuss other repairs or a pessary first.
What to expect
Most women stay one to two nights. A catheter may be used for a short time. Recovery takes around six weeks, and you should avoid heavy lifting and sex until you are told it is safe. Gentle walking from the first day helps recovery. Pelvic floor exercises, once healing allows, help protect the repair over the long term.
How Dr Jasdev works with you
He brings gynaecological surgical experience and a calm, private approach to symptoms that many women find hard to talk about. Plans follow current evidence and your own priorities. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia.
What to bring to your appointment
These details help Dr Jasdev understand your symptoms and plan the right tests or treatment. If you cannot find everything, bring what you have.
- A list of prolapse, bladder and bowel symptoms
- Your cervical screening results
- A list of your medicines
What women often ask
Bladder and pelvic floor problems are common, yet many women wait years before asking about them. These questions can help you start.
Do I need a hysterectomy for prolapse?
Can my womb be kept?
How long is recovery?
Could the prolapse come back?
Your questions about vaginal hysterectomy and repair
What is a vaginal hysterectomy with pelvic floor repair?
It is removal of the womb through the vagina, with repair of the supporting tissues, to treat prolapse.
Who is it suitable for?
Women with womb prolapse causing symptoms who have completed their family.
What tests are needed first?
A pelvic examination, cervical screening, a urine test and sometimes bladder tests or a scan.
Is it painful or risky?
Discomfort is expected for a few weeks. Risks include bleeding, infection, injury to the bladder or bowel, and the prolapse returning.
Why see Dr Jasdev for this?
He discusses options that keep the womb as well as hysterectomy, so you choose what suits you.
How do I book?
Call or WhatsApp the clinic to arrange an assessment.
This page is general information and does not replace a consultation. Whether a procedure suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Get help with womb prolapse
Book a consultation to discuss treatment.