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Day theatre procedure

Surgery for Total Uterine Prolapse in Windhoek

Vaginal hysterectomy and repair to correct complete uterine prolapse (procidentia).

About this service

Surgery for total uterine prolapse in Windhoek treats complete uterine prolapse, also called procidentia, where the uterus has descended fully through the vaginal opening. This typically involves a vaginal hysterectomy combined with repair of the surrounding pelvic tissues to restore support and correct the prolapse. It is considered when the prolapse causes significant discomfort, difficulty with daily activities, or problems with bladder or bowel function.

Eastgate Clinic performs this surgery in our on-site day theatre, with your doctor discussing the approach best suited to your anatomy and symptoms. If you have questions about surgery for total uterine prolapse in Windhoek, our team at Eastgate Clinic is happy to talk you through what to expect and how to prepare.

What to expect

  • A pelvic examination to confirm complete prolapse and check the bladder and bowel walls
  • Preparation of the prolapsed skin, sometimes with oestrogen cream, before the operation date
  • Vaginal hysterectomy combined with front and back wall repair, all under one anaesthetic
  • A few days in hospital with a catheter and vaginal pack at first
  • Around six weeks of lifting restrictions, then a review to check the support has held

Who is it for?

You may be advised to have this if you are dealing with:

  • A noticeable bulge or the uterus protruding beyond the vaginal opening
  • Difficulty walking or sitting comfortably due to prolapse
  • Pelvic pressure or a dragging sensation that has worsened over time
  • Difficulty with bladder or bowel emptying linked to prolapse
  • Diagnosis of complete uterine prolapse (procidentia)

Frequently asked questions

What is procidentia and can it be treated without surgery?

Procidentia is complete prolapse, where the uterus has come through the vaginal opening. A pessary can hold it up temporarily and is sometimes used long-term, but for a complete prolapse surgery is usually the durable answer. Your doctor will go through both.

What does surgery for total uterine prolapse involve?

The uterus is removed through the vagina and the front and back vaginal walls are repaired to rebuild support, all in one operation under anaesthesia. No abdominal incision is needed.

Will my bladder work normally after total prolapse surgery?

Restoring the anatomy often improves emptying, though a catheter is used for the first day and some women need a little time for the bladder to settle. Tell your doctor if you leak urine, as this can be addressed.

For referring doctors

This procedure can be booked in Eastgate Clinic's day theatre in Windhoek, with anaesthetist and theatre staff provided. Contact us to arrange theatre time for your patient.

Day theatre information for doctors

Ready to book your surgery for total uterine prolapse?

Choose a date and time online and we will confirm your appointment at Eastgate Clinic in Windhoek. Medical aid and private patients welcome.