Where in Dubai
Many women put off talking about prolapse because it feels embarrassing. Dr. Surekha Boreddy Veera, a female gynecologist, sees women with prolapse symptoms at NMC Specialty Hospital in Al Nahda, Dubai. She speaks English, Hindi and Telugu. If you pray, mention any discomfort when kneeling or rising, as it helps her understand how the prolapse affects your day.
What is prolapse and pelvic floor surgery?
Pelvic organ prolapse happens when the muscles and tissues that hold the pelvic organs in place weaken. The womb, bladder or bowel can then drop and bulge into the vagina. You may feel heaviness or a dragging feeling, see or feel a bulge, or have trouble emptying your bladder or bowel. It is common after childbirth and after the menopause, and more likely with heavy lifting, long-term coughing or constipation. Prolapse is not dangerous, but it can affect daily life. Mild prolapse often improves with pelvic floor exercises or a vaginal support device called a pessary. Surgery is an option when symptoms are troublesome. It can remove a dropped womb or repair the vaginal walls.
Who it can help
- A feeling of heaviness or dragging in the vagina, often worse at the end of the day.
- A bulge you can see or feel in or outside the vagina.
- Difficulty passing urine or opening your bowels, or needing to press to empty them.
- Prolapse symptoms that remain after pelvic floor exercises or a pessary.
How Dr. Surekha approaches it
Dr. Surekha Boreddy Veera's CV lists vaginal hysterectomy for prolapse, pelvic floor repair, and anterior and posterior colporrhaphy (repair of the front and back walls of the vagina). She completed a Fellowship in non-descent vaginal hysterectomy in 2021. Many women do not need surgery. She explains the non-surgical options first, and if you choose an operation, which repair fits your prolapse.
What to expect
Consultation
She asks about your symptoms, bladder, bowel and sex life, and examines you, sometimes while you strain or stand.
Non-surgical options
Pelvic floor exercises, weight loss, treating constipation or cough, and a pessary are discussed first.
Choosing surgery
If needed, you go through the type of repair, the risks, and the chance that prolapse returns.
The operation
Most prolapse operations are done through the vagina, under a spinal or general anaesthetic.
Follow-up
A review visit checks your healing and how your bladder and bowel are working.
Recovery, in general terms
Every patient is different. These are typical milestones, not a promise; your own plan comes from your consultation.
- A hospital stay of one to three days is typical after vaginal surgery.
- Avoid straining. Eat fibre and drink water to keep your stools soft.
- No heavy lifting for about six weeks, and avoid it long term where you can.
- Many women return to light work within four to six weeks.
- Continue pelvic floor exercises after surgery to support the repair.
Risks to know about
- Prolapse can come back, in the same or another part of the vagina.
- Bleeding, infection or blood clots.
- Bladder problems after surgery, such as difficulty emptying or new leaks.
- Pain or discomfort during sex.
When to book a visit
Book a visit if you feel a bulge or heaviness in the vagina, or have trouble emptying your bladder or bowel. Seek urgent care if you cannot pass urine at all, or after surgery have fever, heavy bleeding or severe pain.
Where to book
Dr. Surekha Boreddy Veera sees patients at NMC Specialty Hospital in Al Nahda 2, Dubai, next to the Bait Al Khair Building. The hospital is open 24 hours and sits close to Al Qusais and the Sharjah border.
NMC Specialty Hospital, Al Nahda
7A Street, Al Nahda 2, next to Bait Al Khair Building, Dubai, United Arab Emirates
Questions patients ask
Is prolapse surgery covered by insurance in Dubai?
Prolapse repair that is medically needed is often covered, usually after pre-approval. A pessary fitting may fall under outpatient limits. Check your plan and ask the hospital to confirm.
Will a prolapse get worse if I leave it?
Not always. Some prolapses stay the same for years, and some improve with pelvic floor exercises. Others slowly get worse. Treatment depends on how much it bothers you.
Can I have prolapse surgery if I want more children?
It is usually better to wait until your family is complete, because pregnancy and birth can strain the repair. A pessary or exercises can help in the meantime.
Does a vaginal hysterectomy leave a scar on the tummy?
No. A vaginal hysterectomy is done through the vagina, so there is no cut on the tummy. The stitches inside dissolve on their own.