Uterine Prolapse Surgery in India — Cost, Types & Recovery

Uterine prolapse surgery in India costs $2,500–$6,500. Sacrohysteropexy, sacrocolpopexy, Manchester repair. Expert urogynaecologists. Book with Gaf Healthcare.

Estimated cost: $2,500 – $6,500 · Average stay: 2–5 days

Uterine prolapse — where the uterus descends into or beyond the vagina — affects millions of women worldwide, particularly after multiple vaginal deliveries. India's specialist urogynaecological units offer the full range of surgical repairs from the minimally invasive Manchester operation to laparoscopic sacrohysteropexy (uterus-sparing mesh repair) and vaginal hysterectomy with pelvic floor repair.

What Is Uterine Prolapse Surgery?

Uterine prolapse surgery restores the uterus to its normal anatomical position within the pelvis and repairs the weakened ligament and fascial supports. Options include: Manchester repair (amputation of the cervix with anterior colporrhaphy — traditional uterus-sparing operation), sacrohysteropexy (laparoscopic mesh suspension of the uterus to the sacrum — preserves uterus and fertility), and vaginal hysterectomy with pelvic floor repair (removes the uterus and simultaneously repairs the pelvic floor).

Who Needs Uterine Prolapse Surgery?

Women with symptomatic uterine prolapse (Stage 2 or higher on the POP-Q classification) causing a sense of pressure, bulge, difficulty with intercourse, urinary dysfunction, or bowel symptoms, who have completed conservative management or decline a pessary, and who are fit for surgery. Uterus-sparing surgery is preferred for women who wish to preserve future pregnancy options.

Uterine Prolapse Surgical Techniques in India

Manchester repair: the cervix is amputated, the cardinal and uterosacral ligaments are shortened and sutured anteriorly to support the uterus, and anterior colporrhaphy is performed. Laparoscopic sacrohysteropexy: a mesh strap is sewn to the anterior and posterior aspects of the uterus and sutured to the anterior longitudinal ligament of the sacrum, elevating and supporting the uterus anatomically. Vaginal hysterectomy is combined with anterior and posterior colporrhaphy for complete pelvic floor reconstruction.

Procedure Steps

1. Spinal or general anaesthesia in lithotomy position
2. Preoperative urodynamic studies reviewed
3. Chosen surgical approach performed (Manchester / sacrohysteropexy / vaginal hysterectomy)
4. Concurrent anterior and posterior colporrhaphy if required
5. Anti-incontinence procedure added if stress incontinence present
6. Vaginal vault repair and closure
7. Urinary catheter left for 24–48 hours
8. Discharge 2–5 days post-surgery

Cost Comparison Worldwide

Country — Range — Savings

--- — --- — ---

India — $2,500 – $6,500 — Save 75–85%

UAE — $4,000 – $10,000 — Save 60–70%

United Kingdom — $8,000 – $20,000 — Baseline

United States — $12,000 – $30,000 — —

Uterine prolapse surgery in India costs $2,500–$6,500 for all-inclusive surgical care — saving patients $20,000–$25,000 compared to equivalent treatment in the United States.

Recovery & Follow-up

Hospital stay is 2–5 days. Pelvic rest for 6 weeks. Avoid heavy lifting (>3 kg) for 3 months — the most common cause of recurrence after prolapse repair. Return to light work within 2–3 weeks.

Recovery Tips

• Constipation straining tears fascial repairs — take stool softeners for 3 months
• No lifting heavier than a kettle for 3 months
• Pelvic floor physiotherapy begins at 6 weeks
• Annual gynaecological review to monitor for recurrence
• Avoid high-impact activities (running, aerobics) for 3 months

Risks & Complications

Risks include bladder injury, haemorrhage, infection, de novo urinary urgency, voiding dysfunction, dyspareunia, mesh complications (for mesh repairs — erosion 3–5%), and recurrence (native tissue repair: 15–25%, mesh repair: <5% at 5 years).

Why GAF Healthcare

Gaf Healthcare's urogynaecology partners perform pre-operative urodynamic studies and pelvic floor physiotherapy assessment before surgery — ensuring the most appropriate surgical repair is selected for each patient's unique anatomy and symptoms.

Frequently Asked Questions

Can I keep my uterus during prolapse surgery?

Yes. Laparoscopic sacrohysteropexy preserves the uterus and provides the most durable repair. Manchester repair also preserves the uterus. These are preferred for women who wish to maintain future pregnancy options.

What is the success rate of uterine prolapse surgery?

Laparoscopic sacrohysteropexy achieves objective cure rates of 90–95% at 5 years. Manchester repair achieves 80–85%. Native tissue vaginal repair achieves 70–75% at 5 years.

Can I have prolapse surgery if I'm diabetic or obese?

Yes. Gaf Healthcare partner hospitals have specialist anaesthetic teams experienced in managing medical comorbidities. Preoperative optimisation of diabetes and weight loss are recommended where feasible to reduce complication rates.

Is laparoscopic sacrohysteropexy available in India?

Yes. Laparoscopic and robotic sacrohysteropexy is available at specialist urogynaecology units in Delhi, Mumbai, Chennai, Hyderabad, and Bengaluru.

How soon can I return home after uterine prolapse surgery?

7–10 days minimum — including surgery, inpatient stay, catheter removal, and post-operative check before departure.