VNOTES Prolapse Patient

14.05.2026 Prof. Dr. Cihan Kaya

Uterine Prolapse Surgery with vNOTES – Patient Information Guide

What is Uterine Prolapse Surgery with vNOTES?

With the vNOTES method, uterine prolapse can be treated by entering through the vaginal route without making an incision in the abdomen. This method is known as scarless surgery.

What is Uterine Prolapse?

It is the downward displacement of the uterus and its prolapse into or out of the vagina. It develops as a result of pelvic floor weakness.

In Which Cases is Surgery Required?

• Advanced degree of prolapse
• Feeling of fullness in the vagina
• Urinary or defecation problems
• Complaints affecting daily life

How is the Surgery Performed?

• Entry is made through the vaginal route
• The abdominal cavity is visualized with a camera
• The uterus can be removed or suspended while preserved
• Apical support is provided
• No incision is made in the abdomen

Techniques Used

• vNOTES hysterectomy + suspension
• Uterosacral ligament suspension
• Sacrospinous fixation (selected cases)

Advantages

• No abdominal scar
• Less pain
• Rapid recovery
• Short hospital stay

Surgery Duration and Anesthesia

It is usually performed under general anesthesia and lasts an average of 60–120 minutes.

Who is it Suitable For?

• Patients with moderate-to-advanced prolapse
• Those seeking minimally invasive surgery
• Patients with suitable anatomical structure

Who is it Not Suitable For?

• Extensive adhesions
• Cases where vaginal access is difficult
• Advanced medical risk

After Surgery

• Discharge on the same day or the next day
• Mild pain may occur
• Rapid return to daily life is ensured

Things to Consider

• Avoid heavy lifting for 4–6 weeks
• Sexual intercourse is not recommended
• Constipation should be prevented

Possible Risks

• Bleeding
• Infection
• Recurrence
• Injury to adjacent organs (rare)

Clinical Fact

Prolapse surgery with vNOTES provides high success and patient satisfaction in suitable patients.

Conclusion

Uterine prolapse surgery with vNOTES is a scarless, comfortable, and modern treatment option.

All Posts