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🩺 Gynaecological Surgery

Pelvic Floor Repair Recovery: Week by Week

General guidance based on RCOG, NHS, ACOG and healthdirect guidelines. Your clinical team’s specific advice takes priority.

📋 Based on published clinical guidelines
ⓘ Always speak with your doctor. This is here to help you feel informed, not to replace the wonderful people caring for you. Always speak with your doctor, surgeon, or healthcare professional before making any decisions about your health or treatment.
Recovery essentials
Little things that make a real difference: the kind of practical help other patients wish someone had mentioned.
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Bladder sensitivity is normal for several weeks after hysterectomy. A small pack of pads at home gives peace of mind while things settle. Adult incontinence products →
Postopcare.info may earn a small commission from Amazon at no cost to you. These are things patients have told us genuinely helped their recovery — nothing else.

Your recovery toolkit

Free interactive tools to track your recovery day by day. Everything stays on your device — nothing is uploaded or shared.

These tools support — never replace — the advice of your surgical team. If something feels wrong, contact your doctor or emergency services.

Understanding Pelvic Organ Prolapse and Surgical Repair

Pelvic organ prolapse (POP) occurs when the muscles, ligaments, and connective tissue supporting the pelvic organs weaken and stretch, allowing organs to descend into or through the vaginal canal. Types include: cystocele (bladder prolapse), rectocele (rectum prolapse), uterine prolapse, and vault prolapse (after hysterectomy). Prolapse is graded 1-4 depending on severity.

Risk factors for prolapse include childbirth (particularly vaginal delivery, large babies, or instrumental delivery), menopause and oestrogen deficiency, chronic constipation and straining, obesity, chronic cough, heavy lifting occupations, and genetic connective tissue disorders. Many women have multiple contributing factors. If you are recovering from childbirth specifically, our postpartum recovery guide covers pelvic floor exercises, perineal care, and when to seek help.

Surgery is considered when conservative management (pelvic floor physiotherapy, pessary) has been insufficient or is not preferred. The type of surgery depends on which compartment is affected: anterior repair (colporrhaphy) for cystocele, posterior repair for rectocele, sacrocolpopexy or sacrohysteropexy for uterine or vault prolapse. Mesh is used in some procedures for additional support — your gynaecologist will explain the specific approach planned for your situation.

Conservative management through a women's health physiotherapist is the first-line treatment for most prolapse and should continue after surgical repair to prevent recurrence. A pelvic floor physiotherapy referral before surgery is recommended: pre-operative pelvic floor strengthening improves post-operative recovery outcomes. In Australia, the Continence Foundation helpline is available at 1800 33 00 66.

Sources: RCOG patient information · IUGA guidelines · NHS pelvic floor repair · Continence Foundation Australia · healthdirect.gov.au

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