Conservative surgeries for pelvic organ prolapse involve procedures that aim to repair and support the pelvic organs without removing them. These surgeries are considered less invasive than more extensive procedures like hysterectomy and are generally recommended for women who wish to preserve their reproductive organs. Some common conservative surgical options for pelvic organ prolapse include:

Colporrhaphy

This procedure involves repairing and reinforcing the tissues that support the vaginal walls. It can be performed anteriorly (anterior colporrhaphy) to address a prolapsed bladder or urethra, posteriorly (posterior colporrhaphy) for a prolapsed rectum, or both.

Sacrocolpopexy

In sacrocolpopexy, a surgical mesh is used to lift and support the prolapsed pelvic organs, typically the uterus or the top of the vagina. The mesh is anchored to the sacrum (lower spine) to provide long-term support.

Uterine Suspension Procedures

Various procedures, such as uterosacral ligament suspension or sacrospinous ligament fixation, involve reattaching the uterus to surrounding ligaments to provide additional support and alleviate prolapse.

Pessary Insertion

While not a surgery, the use of a pessary is a non-surgical, conservative option for managing pelvic organ prolapse. A pessary is a device placed into the vagina to provide support and prevent the descent of pelvic organs.