{"id":4439,"date":"2026-06-28T21:48:37","date_gmt":"2026-06-28T19:48:37","guid":{"rendered":"https:\/\/www.haab-urologie.fr\/test\/surgery-for-urogenital-prolapse-organ-descent"},"modified":"2026-10-14T22:44:39","modified_gmt":"2026-10-14T20:44:39","slug":"surgery-for-urogenital-prolapse-organ-descent","status":"publish","type":"expertise","link":"https:\/\/www.haab-urologie.fr\/en\/urologue-expertise\/surgery-for-urogenital-prolapse-organ-descent","title":{"rendered":"Surgery for urogenital prolapse (descent of organs)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>Correcting pelvic organ prolapse and restoring pelvic comfort Urogenital prolapse surgery: discover Professor Fran\u00e7ois Haab\u2019s minimally invasive techniques to correct organ descent, relieve discomfort and sustainably improve quality of life.\u2026<\/p>\n","protected":false},"featured_media":4509,"menu_order":0,"template":"","class_list":["post-4439","expertise","type-expertise","status-publish","has-post-thumbnail","hentry"],"acf":{"haab_subtitle":"Correcting pelvic organ prolapse and restoring pelvic comfort","haab_intro":"Urogenital prolapse surgery: discover Professor Fran\u00e7ois Haab\u2019s minimally invasive techniques to correct organ descent, relieve discomfort and sustainably improve quality of life.","haab_related_expertises":"","haab_related_besoins":"","haab_card_excerpt":"Urogenital prolapse surgery: discover Professor Fran\u00e7ois Haab\u2019s minimally invasive techniques to correct organ descent, relieve discomfort and sustainably improve quality of life.","haab_form_shortcode":"","haab_primary_label":"consultation appointment","haab_primary_url":"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/francois-haab\/booking\/telehealth-suggestion?specialityId=177&profile_skipped=true&bookingFunnelSource=external_referral","haab_secondary_label":"","haab_secondary_url":"","haab_card_image":4509,"haab_hero_image":4149,"haab_videos":[{"url":"https:\/\/www.youtube.com\/watch?v=M95FxWNQeiE","title":"My review in video"}],"haab_video_eyebrow":"","haab_video_section_title":"","haab_video_section_text":"","haab_faq_title":"FAQ \u2013 Frequently Asked Questions","haab_faq_items":[{"question":"What is a genital prolapse?","answer":"Prolapse, or \"descent of organs,\" occurs when one or more pelvic organs (bladder, uterus, rectum) slide downwards through the vagina due to a weakening of the supporting tissues. Symptoms include a feeling of a vaginal bulge, heaviness, or urinary problems."},{"question":"Is surgery always necessary for a prolapse?","answer":"No. A minor prolapse can often be monitored. Pelvic floor exercises and pessaries are effective non-surgical alternatives. Surgery is only recommended when the discomfort warrants it."},{"question":"What are the surgical techniques?","answer":"Laparoscopic sacrocolpopexy, which secures the organs to the sacral promontory using a prosthesis, is the standard technique for active women. Vaginal surgery, using natural tissue, is preferred in certain situations. The choice is tailored to each patient."},{"question":"Can the prolapse recur after the procedure?","answer":"The risk of recurrence exists but remains moderate: around 5 to 10% after sacrocolpopexy. Maintaining a stable weight, preventing constipation, and avoiding repeated straining help to protect the outcome."}],"haab_sidebar_rdv_title":"","haab_doctor_band_title":"","haab_doctor_band_text":"","haab_doctor_band_points":null,"haab_doctor_band_image":"","haab_page_cta_title":"","haab_page_cta_text":"","haab_closing_highlights":null,"haab_blocks":[{"acf_fc_layout":"image_text_block","eyebrow":"","title":"What does prolapse surgery involve?","content":"Urogenital prolapse occurs when the bladder, uterus, vagina, or rectum descends into the pelvis. Surgery aims to <strong>reposition the organ<\/strong> , restore pelvic floor support, and alleviate symptoms. The goal is to improve <strong>quality of life<\/strong> , reduce perineal discomfort, treat associated urinary problems, and prevent the condition from worsening.","image":4149},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"In what cases?","content":"<strong>Indications<\/strong> Surgery is considered when a woman presents: Significant daily discomfort (heaviness, \u201clump\u201d, pain, sexual discomfort) Associated urinary problems: leakage, difficulty urinating, frequent urination Failure of pessary or rehabilitation Moderate to severe prolapse confirmed by clinical examination Discomfort impacting mobility, activities or intimate life Treatment is personalized according to age, expectations, physical activity, history and type of prolapse.<hr \/> <strong>Surgical technique<\/strong> <strong>1. Pre-operative preparation<\/strong><ul><li> Detailed clinical examination to locate and measure the prolapse<\/li><li> Pelvic floor assessment and screening for hidden incontinence<\/li><li> Urine analysis to rule out infection<\/li><li> Anesthetic consultation (local, regional or general depending on the case) <u><a href=\"https:\/\/www.urofrance.org\/recommandation\/recommandations-pour-lutilisation-de-la-toxine-botulinique-de-type-a-botox-dans-lhyperactivite-vesicale-refractaire-idiopathique\/\" rel=\"noopener\">\r\n<\/a><\/u><\/li><\/ul><strong>2.<\/strong> <strong>Choice of technique:<\/strong> <strong>Vaginal<\/strong> <strong>route<\/strong><ul><li> A preferred technique for many patients<\/li><li> Direct access to the prolapse without abdominal scarring<\/li><li> Reinforcement of vaginal tissues using sutures or autologous tissue<\/li><\/ul> <strong>Laparoscopic\/robot-assisted approach (sprungofixation)<\/strong><ul><li> Minimally invasive procedure through small incisions<\/li><li> Durable suspension of the organ at the level of the sacral promontory<\/li><li> Excellent long-term results and rapid recovery<\/li><\/ul> <strong>Techniques according to the organ concerned<\/strong><ul><li> <strong>Cystocele (bladder)<\/strong> : repair of the anterior wall<\/li><li> <strong>Hysterocele (uterus)<\/strong> : uterine suspension or hysterectomy if indicated<\/li><li> <strong>Rectocele<\/strong> : repair of the posterior abdominal wall<\/li><li> <strong>Enterocele<\/strong> : repositioning of intestinal loops<\/li><\/ul> The choice depends on the type of prolapse, age, medical history, and the desire to preserve the uterus. <strong>3. Duration, hospitalization, and follow-up<\/strong><ul><li style=\"list-style-type: none;\"><ul><li> Duration: <strong>30 to 90 minutes<\/strong> , depending on the technique<\/li><li> Hospitalization: outpatient or 24 hours<\/li><li> Resumption of normal activities: <strong>3 to 7 days<\/strong><\/li><li> Full recovery: <strong>4 to 6 weeks<\/strong><\/li><li> Avoid heavy lifting and strenuous activity for one month.<\/li><\/ul><\/li><\/ul>","image":3189},{"acf_fc_layout":"list_block","eyebrow":"","title":"Advantages of minimally invasive surgery","text":"","items":[{"item":"Minimally invasive surgery with little pain and rapid recovery allowing a quick return to activities."},{"item":"Lasting results thanks to strong support of the pelvic organs and a marked improvement in quality of life."},{"item":"Modern techniques allow for minimal scarring and a reduced risk of postoperative complications."}]},{"acf_fc_layout":"list_block","eyebrow":"","title":"Specialist in urogenital prolapse and minimally invasive surgery","text":"","items":[{"item":"A precise assessment of the type of prolapse and its repercussions"},{"item":"Mastery of modern techniques (vaginal, laparoscopic, robotic)"},{"item":"A personalized approach, tailored to each patient"},{"item":"Careful monitoring and shared therapeutic decisions"}]},{"acf_fc_layout":"text_block","eyebrow":"","title":"My review in video","content":"Discover my presentation on prolapse surgery and the available options."}]},"_links":{"self":[{"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/expertise\/4439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/expertise"}],"about":[{"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/types\/expertise"}],"version-history":[{"count":2,"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/expertise\/4439\/revisions"}],"predecessor-version":[{"id":4492,"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/expertise\/4439\/revisions\/4492"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/media\/4509"}],"wp:attachment":[{"href":"https:\/\/www.haab-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}