Uterine Prolapse Natural Tissue

Treatments for Uterine Prolapse Using Natural Tissue (Mesh-Free Surgery)

General Information

In the treatment of uterine prolapse, surgeries performed using the patient's own tissues without synthetic mesh hold an important place. These methods are particularly preferred in patients who wish to avoid mesh complications.

What is Natural Tissue Repair?

It is the strengthening of pelvic support structures using the patient's own connective tissues and ligaments.

1. Uterosacral Ligament Suspension

The uterus or vaginal vault is supported by suspending it from the uterosacral ligaments.

Advantages

• No mesh is used
• Provides anatomical support
• Can be performed vaginally

2. Sacrospinous Fixation

The uterus or vaginal vault is fixed to the sacrospinous ligament.

Advantages

• Performed via vaginal surgery
• Provides good apical support

Disadvantages

• May result in asymmetrical support
• Pain in the gluteal region may occur

3. Anterior and Posterior Colporrhaphy

Accompanying cystocele and rectocele are corrected by strengthening the anterior and posterior vaginal walls.

4. Uterus-Preserving Surgeries (Hysteropexy)

The uterus is supported without removal. It is preferred in patients who desire fertility or wish to preserve their uterus.

Who is it Preferred For?

• Patients who do not want mesh
• Moderate prolapse
• Young patients
• Those with a high risk of complications

Advantages

• No foreign body
• Lower risk of mesh complications
• Can be performed vaginally

Disadvantages

• The risk of recurrence may be slightly higher compared to mesh surgery

Post-Surgery

• Avoid heavy lifting for 4–6 weeks
• Pelvic floor exercises are recommended
• Constipation should be prevented

Clinical Fact

Natural tissue surgeries yield successful results with proper patient selection and are frequently preferred today.

Conclusion

Surgeries for uterine prolapse performed without mesh are safe and effective options. A personalized approach is important.