Vaginal Prolapse and Pelvic Organ Prolapse

Vaginal Prolapse Treatment: Laser and Surgery options

A vaginal prolapse occurs when the pelvic floor muscles, tissues and ligaments weaken and stretch. This can happen at any stage of a woman’s life but we see it most often in patients who have previously given birth, patients over the age of 55 and patients carrying some extra weight.

We understand how uncomfortable this can be and if you suspect that this may be happening to you, reach out to our knowledgeable team. We will help determine the best treatment for you.

Treatment: Laser or Surgery

Designed to be gentle and painless, our laser procedure is simple, non-surgical and requires no special preparation.

Dr. Murphy uses revolutionary Fotona laser technology to treat mild-to-moderate vaginal prolapse– reverting vaginal tissues back to a tighter, healthier state. At our clinic, we know that laser treatment is just as effective and, in many cases, superior, to traditional treatment options, especially in regard to safety.

Clinical studies show that our procedure is safe and provides excellent results without any of the usual complications due to surgery. We are proud to offer this treatment as a holistic alternative for women with mild-to-moderate vaginal prolapse. Dr. Murphy is the first in Canada to combine both ND: Yag and Er Yag laser wavelengths to treat prolapse and vaginal looseness; in keeping with our commitment to bring the best available technology to our patients.

For full transparency, the laser will usually not ‘cure’ prolapse; it will often reduce symptoms to a more manageable, or asymptomatic state. To be clear, surgery doesn’t ‘cure’ prolapse completely either; it compensates and tries to restore tightness and support, with variable success.

If you are interested or really require surgery however, there are two options:

  1. The first is the Medicare system. The reality in all Provinces of Canada is that Medicare is under tremendous stress and the wait times are very long (an average of four years across Canada. Medicare service also require referrals.
  2. The second option is to pay for the procedure(s) to be done at a private surgical center. As Medicare has become more and more strained, more Canadians are willing to travel to other jurisdictions for treatment. Traditionally this meant the US, or Mexico, but recently more and more people are looking closer at home. There are already many precedents in Canada for this and the specialty of orthopedics has led the way in a big way.  For urogynecology conditions there have been no private options, until now.
    After thirty years of working and operating exclusively in the public system, I have teamed up with Mount Royal Surgical Centre (Mount Royal Surgical – Premier Private Surgical Facility in Calgary, Alberta) to offer private surgery for vaginal prolapse, Pelvic Organ Prolapse and urinary incontinence as well as select cosmetic gynecology surgery for Canadian residents from any Province and Territory of Canada on an expedited timeline and with no referral required. Private surgery will get you much quicker treatment.Please call Protea Pelvic Floor Clinic for more information. Patients can call our office directly for a free discussion and consultation with Dr. Murphy, or book online directly through the website. Unfortunately, not everyone will be an appropriate candidate for private surgery and Dr. Murphy will only be able to assess whether you are a candidate after having information about the specific problem, and a personal medical history.

    The process would look something like the following:

    1) Initial contact: Usually by phone. This will be an overview screening of main aspects regarding the problem and overall health status. Explanation of cost expectation, which will depend on the procedure(s) required. Date of surgery determined, and payment deposit collected if a surgical slot is allocated.

    2) Arrangements to be made for travel and stay in Calgary. Usually about four nights in a hotel.

    3) In person consultation with Dr. Murphy before surgery. Might include clinic tests for instance urodynamics and/or cystoscopy. Final payment determined and collected. Will vary depending on final decision on procedure(s).

    4) Day Surgery under general or sedation anesthesia at Mount Royal Surgical Centre. Most cases will require general anesthesia.

    5) Discharge to hotel.

    6) Post surgery checkup a day or two after surgery.

    7) Travel back to home community/Province.


Recovery

Laser: While most of our patients see significant improvement after the first session, it can take up to four months to experience the final outcome. We always recommend three initial sessions and one yearly maintenance session for optimal results.

The likelihood of adverse effects is low and you’ll experience minimal discomfort. If we add NDYag laser, the experience is more intense, but it is quick. Adding NDYag to the Erbium protocol improve the results with only a small cost increase.

Surgery: Recovery depends on the procedures done. All private surgery will be done as day surgery, and the procedures will be appropriately selected. Expect to be ready to travel back home in a day or two. All surgery carries the risk of complications.


Results

Our laser treatment is a safe and non-invasive alternative to traditional methods with no cutting, bleeding or stitches. It’s also suitable for treating higher-grade prolapses. While we can’t guarantee that it will ‘cure’ a higher-grade prolapse, there is a good chance that your symptoms will improve which may lessen the need for surgery and/or postpone it.

In any case, tissues will strengthen and your prolapse will likely decrease, significantly improving your quality of life – without surgery.

Surgery has however always been the default treatment and will always play a role for many patients. For some it will be essential, but often the best results can be obtained by a combination of surgery and laser. Surgery to restore support, and laser to keep the tissue elastically tight over time and prevent deterioration of the structural integrity of the tissue.

Feel free to discuss with Dr. Murphy which option would be best for you.


Frequently Asked Questions

Symptoms can include feelings of heaviness around your lower abdomen and genitals, a bulging discomfort inside your vagina, feeling like there’s something moving down into your vagina, feeling or seeing a lump in or coming out of your vagina, discomfort during sex, problems peeing and more.

Prolapse occurs when the muscles, fascia, ligaments and tissues of the pelvic floor no longer support pelvic structures causing the uterus to slip into the vagina. It can also occur when the vaginal walls start to bulge or slip through (like a sock that is pushed into itself).

Speak with our team of knowledgeable professionals who will help assess and recommend the most effective treatment plan. Call our clinic today to learn more.

Initial series of three sessions: $2,600.00 to $2,900 (total for the three sessions), depending on treatments used + tax

Annual follow-up treatment: $700.00 to $900, depending on treatments used + tax.

Our team will discuss options with you and come up with an individualized care plan based on your needs. Reach out to us today to get started.

This is not covered by Medicare and is an out-of-pocket expense for patients. We will provide a letter you can submit to your insurance provider or Health Benefits account manager. We do not submit to insurance companies directly. However, you may be eligible for a medical expense tax deduction. Be sure to check with your accountant to see if you qualify.