John Boon, M.D.
Sugar Land, TX

Women's Health

Dr. Boon performs the diagnosis, workup, and treatment of pelvic organ prolapse and urinary incontinence (leakage of urine).  He has special expertise in robotic sacrocolpopexy for pelvic organ prolapse using the da Vinci Surgical System.  

Here is some information regarding treatment of pelvic organ prolapse.  Treatment may or may not require surgery.  Repairs can be done with or without mesh depending on the severity of your condition.

What causes pelvic organ prolapse?

When the muscles and ligaments supporting a woman's pelvic organs weaken, the pelvic organs can slip out of place (prolapse). Pelvic organ prolapse can worsen over time and you may need surgery to fix it. There are different types of pelvic organ prolapse. Some women develop vaginal prolapse, usually after menopause, childbirth or a hysterectomy.

Which treatment option is best for me?

For more-severe cases of uterine prolapse, treatment options include:

1.  Vaginal pessary.

This device fits inside your vagina and holds your uterus in place. Used as temporary or permanent treatment, vaginal pessaries come in many shapes and sizes, so your doctor will measure and fit you for the proper device. You'll also learn how to insert, remove and clean the pessary. You may be able to take the pessary out overnight and reinsert it each day.

But a vaginal pessary may be of little use if you have severe uterine prolapse. Also, a vaginal pessary can irritate vaginal tissues, possibly to the point of causing sores (ulcers) on vaginal tissues, and it may interfere with sexual intercourse.


2. Surgery.

To repair damaged or weakened pelvic floor tissues, a vaginal surgery can be done with or without mesh.  An abdominal surgery can also be used in more severe cases.  A hysterectomy, which removes your uterus, also may be needed.

As an alternative to vaginal and abdominal surgery, robotic, minimally-invasive surgery can be used.  This procedure involves small abdominal incisions, a telescope, and special robitic surgical instruments that are controlled by the surgeon.

Which surgery and surgical approach your doctor recommends depends on your individual needs and circumstances. Each surgery has pros and cons that you'll need to discuss with Dr. Boon.

Dr. Boon performs robotic sacrocolpopexy.

Click here to download the brochure for robotic sacrocolpopexy.

Dr. Boon also performs surgery and minimally invasive procedures for stress urinary incontinence.

Please call us to make an appointment with Dr. Boon to talk about incontinence or pelvic organ prolapse.

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