Pelvic Floor Reconstruction

pelvic floor prolapse

According to Esplanade Women’s Care founder Dr. Raleigh Unterseher, pelvic floor reconstruction is a combination of surgical procedures to treat the various components of pelvic organ prolapse. Pelvic organ prolapse occurs when the muscles, ligaments, and connective tissue of the pelvic organs are stretched or damaged. This can often happen due to childbirth, repeated heavy lifting, having had a hysterectomy, or from having a disease that can weaken connective tissue like diabetes or chronic asthma.

The muscles, ligaments, and connective tissue of the pelvic floor help support and position the bladder, uterus, rectum, and walls of the vagina. When these tissues are weakened or damaged, they no longer properly support the pelvic organs, allowing the walls of the vagina, bladder, urethra, rectum and uterus to drop or fall (prolapse) below their normal positions. This can result in pain and pressure in the vaginal area. A woman may feel a heaviness at the opening of the vagina or that “something is falling out”. Disruptions to normal bowel and bladder function may develop leading to embarrassing loss of urine, gas, or stool.

Women who are suffering with symptoms of pelvic organ prolapse need a comprehensive history and physical exam, emphasizing the pelvic organs so a proper diagnosis can be made. Dr. Unterseher has extensive experience in the surgical and non-surgical management of pelvic organ prolapse. If surgical management is needed, Dr. Unterseher may recommend:

  • Tightening of the vaginal opening (Perineorrhaphy)
  • Repairing the wall between the vagina and rectum (Posterior Colporrhaphy)
  • Repairing the wall between the vagina and bladder (Anterior Colporrhaphy)
  • Supporting the mid urethra (Pubovaginal Sling)
  • Repairing the lateral attachments of the vagina (Paravaginal Repair)
  • Repairing the support to the upper vagina (Colposuspension)


Most commonly, Dr. Unterseher performs pelvic floor reconstruction surgery from a vaginal approach to reduce pain, shorten the hospital stay, and shorten the recovery time. Most of his pelvic floor reconstruction patients go home from surgery the next day.

If you are interested in more information regarding pelvic floor reconstruction, call the professional caring staff at Esplanade Women’s Care under the direction of Dr. Raleigh Unterseher.

Don’t wait – call us today at (530) 332-9288 to schedule your confidential consultation.

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