What are the risks of surgery for uterine prolapse?

Question

Hello doctor,

I have been diagnosed with a uterine and cervix prolapse that is visibly hanging down. My doctor has recommended surgery to address it in a couple of years. My periods are still regular, and I am generally healthy, but I am concerned about the potential risks of surgery. Specifically, I am worried that it might lead to hormone imbalances or increase my risk of HR-positive breast cancer. Is this a valid concern? I am feeling quite stressed.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query.

If your uterus is hanging down, it indicates a fourth-degree prolapse known as procidentia. Given your age of 44 and assuming you have either completed having children or do not plan to have more, surgery to remove the uterus is likely the best option.

There is no substantial evidence linking uterine removal to an increased risk of breast cancer. In your case, the benefits of surgery outweigh the risks. For example, a prolapsed cervix can lead to erosion, which poses an independent risk for cervical cancer over time. Additionally, a long-standing uterine prolapse can cause bladder issues such as recurrent urinary tract infections and incontinence, as well as vaginal infections, which could negatively impact your sex life.

It is important to consult with a reputable gynecologist who can assess the degree of prolapse and evaluate your pelvic floor.

I hope this helps.

Thank you.