Vaginal Reconstructive Surgery for Prolapse in Katy, TX
When pelvic organ prolapse causes a bulge, pressure or trouble emptying the bladder or bowel, reconstructive surgery can restore support and comfort.
Vaginal reconstructive surgery, sometimes called revagination, repairs the support of the vaginal walls and pelvic organs when they have dropped because of prolapse. Most repairs are performed through the vagina using your own tissues, with no abdominal incision. At our Katy office, Dr. Solafa Elshatanoufy, a board-certified urogynecologist, helps you decide whether surgery is right for you and which approach fits your body and goals.
What Is Vaginal Reconstructive Surgery?
Revagination is not a standard medical term, but it is sometimes used to describe surgery that restores the normal shape and support of the vagina. In medical terms, this is called pelvic reconstructive surgery or prolapse repair.
Pelvic organ prolapse happens when the muscles and connective tissue of the pelvic floor weaken, allowing the bladder, uterus, top of the vagina or rectum to drop into or beyond the vaginal opening. Childbirth, aging, menopause, chronic constipation, heavy lifting and genetics all play a role.
Not everyone with prolapse needs surgery. Pelvic floor therapy and a pessary help many women. Surgery is an option when symptoms are bothersome and you prefer a longer-lasting solution.
Symptoms That May Lead to Surgery
Surgery is considered when prolapse symptoms affect your daily life.
Prolapse symptoms
- A bulge you can see or feel at the vaginal opening
- Pelvic pressure or heaviness that worsens through the day
- Difficulty emptying the bladder or a weak stream
- Needing to press on the vagina to urinate or have a bowel movement
- Discomfort during intercourse
- Irritation or spotting from exposed vaginal tissue
Types of prolapse that can be repaired
- Anterior prolapse (cystocele): the bladder bulges into the front vaginal wall
- Posterior prolapse (rectocele): the rectum bulges into the back vaginal wall
- Uterine prolapse: the uterus descends into the vagina
- Vaginal vault prolapse: the top of the vagina drops after hysterectomy
- Perineal laxity: stretching of the tissue at the vaginal opening
Is Surgery Right for You?
Surgery may be a good choice if:
- Prolapse symptoms bother you and limit your activities
- A pessary is uncomfortable, falls out or is not your preference
- Pelvic floor therapy has not given enough relief
- Prolapse is affecting bladder or bowel emptying
If you may want future pregnancies, surgery is usually delayed. Your overall health, activity level and sexual activity also shape the choice of procedure.
Seek prompt care if you cannot urinate, have a prolapse that will not go back in and is painful or bleeding, or have fever with pelvic pain. Call 911 in an emergency.
Reconstructive Surgery Expertise
Dr. Solafa Elshatanoufy is board-certified in female pelvic medicine and reconstructive surgery, the specialty dedicated to prolapse and pelvic floor repair, as well as in obstetrics and gynecology and advanced minimally invasive gynecology. She completed her urogynecology fellowship at Wayne State University.
She will examine you carefully, explain each surgical option, and discuss non-surgical alternatives so you can make a confident, informed decision.
Planning Your Surgery
- Pelvic examination: to identify which compartments of the vagina are affected and how far.
- Bladder testing: including urodynamic testing when needed, because repairing prolapse can reveal hidden stress incontinence.
- Bowel assessment: when constipation or difficulty emptying is part of your symptoms.
- Health review: to make sure surgery and anesthesia are safe for you.
Surgical Options
The best procedure depends on the type of prolapse, your health and your goals, including whether you are sexually active.
Repairs using your own tissue
- Anterior and posterior repair (colporrhaphy): strengthens the front or back vaginal wall.
- Apical suspension: attaches the top of the vagina to strong ligaments in the pelvis.
- Vaginal hysterectomy with suspension: for uterine prolapse when removing the uterus is appropriate.
- Perineorrhaphy: rebuilds the tissue at the vaginal opening.
Other approaches
- Colpocleisis: a shorter, highly effective procedure that closes the vagina, for women who are not and will not be sexually active.
- Abdominal sacrocolpopexy: suspends the vagina from the tailbone area using mesh placed through the abdomen, which may be discussed for selected patients.
- Combined incontinence procedure: when stress urinary leakage is also present.
We do not use transvaginal mesh for prolapse repair.
All surgery carries risks, including bleeding, infection, urinary difficulty, pain with intercourse and the chance that prolapse returns. Dr. Elshatanoufy will review the risks and expected benefits of each option with you.
Recovery and Results
Many vaginal repairs are done as outpatient or overnight-stay procedures. Most women return to light activity within two weeks and avoid heavy lifting and intercourse for about six weeks. Most women have lasting relief of bulge symptoms, although prolapse can recur over time. Pelvic floor physical therapy and healthy habits such as avoiding constipation help protect your repair.
Prolapse Surgery Care in Katy, Texas
Surgical expertise from a specialist who also offers every non-surgical option.
- Board-certified urogynecologist
- Fellowship-trained in pelvic reconstructive surgery
- Native tissue vaginal repairs
- No transvaginal mesh for prolapse
- Pessary and pelvic floor therapy options
- Clear guidance on risks and recovery
What Our Patients Say
Patients share their experience of care at our Katy office. Individual results vary.
Dr. Elshatanoufy is simply wonderful! She took the time to thoroughly explain my extensive lab results and other tests, answered all of my questions, and gave me the confidence and peace of mind I needed before moving forward with the procedure.
The entire staff was also incredibly attentive, courteous, and welcoming throughout my visit. I truly loved my experience there and felt very well cared for. I definitely trust Dr. Elshatanoufy and her team with my health needs and would highly recommend them!
I can’t say enough good things about Dr. Solafa. She is warm, attentive, and incredibly compassionate. She takes her time during appointments, listens carefully to concerns, and never makes you feel rushed. Her bedside manner is truly wonderful, and she creates such a comfortable and reassuring environment. You can tell she genuinely cares about her patients. Very sweet, professional, and knowledgeable. I’m so grateful to have found her for my mom’s treatment.
Dr. Elshatanoufy was truly lovely to work with. I’ve had a hard time pinning down my symptoms but she was willing to hear my concerns and do a thorough examination to rule out more serious conditions. She was thorough, efficient, patient, gentle, and kind during the pelvic examination, which is a vulnerable position for women. I felt that she genuinely cared for my wellbeing. After receiving less than ideal care at a neighboring practice in Katy, I am really grateful to Dr. E for validating my concerns, making me feel heard, and reassured with my next steps.
The waiting room was pretty busy and cold when I went. Suggest bringing headphones and some long sleeves!
My experience perfection. From check in to check out. Dia was my MA and she was so professional and a pleasure. She answered all my questions and made sure I was taken care of. Dr Elshatanoufy was AWESOME! Great bedside manner and make my exam comfortable. Then I had the pleasure to check out with Elizabeth and she was just as pleasant. I can tell this is an office that cares greatly for their patients!
This was my first visit at Katy Women’s Pelvic Health. It was a great experience, from checking in with a very helpful and friendly receptionist to being seeing by Nida the office manager, Oyin the NP and Dr. E. Everyone was very friendly, professional, and made the visit very comfortable. They thoroughly explained all the finding and the options for treatment. I highly recommend this practice.
Dr E. and her whole staff are gems! They have the best customer service, energy, and I noticed they are great with all other patients besides me. Dr E. really listens to your problems, offers solutions and she explains things so well. You can tell she loves what she does and does a wonderful job at it. I definitely recommend her practice to anyone seeking top notch, high quality care.
Just the kindest people! I was so at ease with the whole experience!! Very knowledgeable, explained everything and answered all my questions!!! Wish I had found her earlier in my life!!
Mi nombre es Nidia, I am a patient at Katy Women’s Pelvic Health and had my surgery less than 15 days ago. This clinic is highly recommended for its excellent medical and humane care. This type of care is provided by the entire staff, in addition to the doctor, including the receptionist, nurses, and health technicians. The surgeon is Solafa Elshatanoufy, who has more than 20 years of experience in women’s pelvic health, offering modern, effective, and minimally invasive treatments in many cases. She is a compassionate and empathetic person who makes you feel safe, listened to, and cared for by expert and professional hands. The environment is clean and welcoming, and thanks to its modernity, I felt almost no discomfort or pain during the procedures, and everything was quick.
One of the best places to see OBGYN. My mom sees Dr. Solafa. The staffs, nurses, Doctors and the services they provide are very professional and welcoming. Highly recommended.
Top-tier doctor and extremely skilled surgeon, I could not have been more blessed to have her taking care of me. Thank you, Dr. E!
Dr. E is a super great Doctor who listens attentively and collaborates closely with patients throughout every step of the process. Additionally, the office staff was professional, courteous, and efficient.
Dr. E is so kind and professional. She listened to all my concerns and had an answer to all my questions. She made sure I was happy with my medications. Her staff is so helpful and make the visit go quickly and efficiently. I am so glad I found Dr E!
Dr. E has the best bedside manner compared to all the doctors I have seen before. She is so knowledgeable and truly cares for her patients and wants the best for everyone. I feel incredibly lucky to find a doctor willing to always spare time for patients. She is amazing and 1000% worth the wait!!!!
Frequently Asked Questions About Vaginal Reconstructive Surgery
What does revagination mean?
Revagination is not a standard medical term. It is sometimes used to describe surgery that restores the support and shape of the vagina, which surgeons call pelvic reconstructive surgery or prolapse repair.
Do I need surgery for pelvic organ prolapse?
Not necessarily. Many women manage prolapse well with pelvic floor therapy or a pessary. Surgery is an option when symptoms are bothersome and you want a longer-term solution.
Is mesh used in vaginal prolapse surgery?
We do not use transvaginal mesh for prolapse repair. Most vaginal repairs use your own tissues. An abdominal procedure that uses mesh may be discussed for selected patients.
How long is recovery after prolapse surgery?
Most women return to light activities within about two weeks and avoid heavy lifting and intercourse for about six weeks.
Can prolapse come back after surgery?
Yes, prolapse can recur, especially years after surgery. Avoiding constipation and heavy straining and continuing pelvic floor exercises help protect your repair.
Will surgery affect my sex life?
Many women find intimacy more comfortable once the bulge is repaired. Some procedures can change vaginal length or cause pain with intercourse, which is why your goals are part of choosing the right procedure.
Do you see patients from outside Katy?
Yes. Women from Fulshear, Richmond, Sugar Land, Cypress and across Greater Houston are seen at our Katy office.
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Prolapse Surgery Care in Katy and Greater Houston
Consultations, pre-operative planning and follow-up visits take place at our Katy office at 410 W Grand Pkwy S, Suite 320. Surgery is performed at an affiliated hospital in the area. We welcome new patients from Katy, Fulshear, Richmond, Sugar Land, Cypress and across Greater Houston.
Ready to Discuss Your Prolapse Options?
Learn about every option, surgical and non-surgical. Schedule a consultation with Dr. Solafa Elshatanoufy.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494