Pelvic floor reconstruction surgery is a specialised procedure aimed at repairing and strengthening the pelvic floor. It is commonly recommended for women experiencing pelvic organ prolapse or severe pelvic floor dysfunction. The surgery helps restore the normal position of organs such as the uterus, bladder or rectum, relieving symptoms like pressure, urinary leakage, or difficulty with bowel movements.
By reconstructing the pelvic support structures, this surgery not only improves physical comfort but also enhances daily functioning and overall quality of life.
The surgery is a specialised procedure that restores the normal structure and support of the pelvic floor. Unlike operations such as a hysterectomy or a myomectomy, pelvic floor reconstruction does not focus on removing an organ or growth. Instead, it rebuilds and reinforces the tissues, ligaments and muscles that hold the pelvic organs in place.
This surgery is often performed as a stand-alone treatment for pelvic floor weakness, but it may also be combined with other gynaecological procedures. For example, pelvic floor reconstruction can be done at the same time as a hysterectomy to maintain vaginal support or alongside fibroid surgery to strengthen the uterus and surrounding tissues.
By focusing on restoring support and function, the procedure helps ensure that the results of other gynaecological surgeries are long-lasting and that the pelvic floor continues to function well over time.
The procedure can be performed using various surgical techniques, each selected to suit the individual patient’s needs and treatment goals. This includes:
To ensure comfort, the surgery is done under anaesthesia. The exact method differs depending on the type of repair, but the process usually involves these key stages:
Pre-operative Preparation | A detailed assessment is carried out to review the patient’s medical history and treatment goals. On the day of surgery, the operative site is carefully sterilised to minimise the risk of infection. |
Accessing the Pelvic Floor | The surgeon creates an incision to reach the pelvic floor. This is commonly done through the vagina, but rarely, small abdominal incisions are made to allow for laparoscopic or robotic-assisted techniques. |
Repairing Weakened Tissues | Areas of stretched or weakened tissue are reinforced with sutures. Where additional support is needed, a surgical mesh or biological graft may be placed to strengthen the repair and reduce the risk of recurrence. |
Restoring Organ Position | Organs that have shifted from their normal position, such as the bladder, uterus or rectum, are repositioned carefully to their natural anatomical alignment. |
Closing the Incisions | The surgical site is closed using dissolvable sutures. For minimally invasive procedures, only small external scars are left, which typically heal discreetly. |
Post-operative Care | After surgery, the patient is closely monitored while recovering from anaesthesia. Detailed guidance is given on activity restrictions, wound care and pelvic floor exercises to support healing and long-term results. |
There are several key benefits that the procedure offers. This includes:
The procedure is typically recommended when non-surgical treatments are insufficient. Some of the indicators include:
Like any surgery, pelvic floor reconstruction carries certain risks. Although rare, these may include:
At Dr Ma Li’s clinic, every recovery plan is tailored to the individual, with close attention to both physical healing and overall well-being. Most patients can return to light daily activities within 2 to 4 weeks. However, complete recovery may take 6 to 8 weeks, depending on the type and extent of reconstruction performed. During this time, patients are advised to gradually increase activity while avoiding heavy lifting or strenuous exercise until cleared by the surgeon.
Many patients notice an immediate improvement in pelvic support, reduction in urinary symptoms and greater overall comfort following surgery. These benefits continue to improve as tissues heal and the pelvic floor regains strength.
To support long-term outcomes, follow-up appointments are scheduled to carefully monitor progress, address any concerns and guide the return to normal activities. On the other hand, pelvic floor physiotherapy or targeted exercises are recommended to further strengthen the muscles and reduce the risk of recurrence. Rest assured that our team remains available throughout recovery to provide reassurance, answer questions and ensure the best possible results.
The surgery is generally performed as a single operation. Most of the time, the repair effectively addresses prolapse or dysfunction in one session. However, the durability of the repair depends on factors such as tissue strength, lifestyle and whether mesh or grafts are used. Additional procedures may be required in the future if prolapse recurs or if another pelvic floor compartment becomes weakened.
Every treatment plan begins with a detailed consultation to assess your condition and personal goals. Post-operative follow-up ensures that your recovery is carefully monitored and that you achieve the best possible results.
Take the first step towards feeling better by scheduling a consultation with us. We will listen to your concerns, assess your needs carefully and create a treatment plan tailored just for you.
While not all cases of pelvic organ prolapse can be avoided, there are steps you can take to reduce the risk, such as:
Managing chronic coughing or constipation is also important, as both can place extra strain on pelvic tissues. For women who have recently given birth, guided pelvic floor rehabilitation can support recovery and lower the chance of prolapse later on.
Monday - Friday
08:30am - 01:00pm, 02:00pm - 05:30pm
Saturday
09:00am - 01:00pm
Sunday & Public Holidays | Closed
3 Mount Elizabeth #09-08
Mount Elizabeth Medical Centre
Singapore 228510
