Surgical Management of Severe Prolapse at Dr. Tunitsky’s Clinic in Israel

Диагноз «тяжелый пролапс тазовых органов» — это не приговор. В клинике доктора Сергея Туницкого в Израиле мы специализируемся на лечении пролапса 3-4 стадии, рецидивов и сложных случаев, когда стандартные подходы могут быть неэффективны. Будучи опытным хирургом-гинекологом, доктор Туницкий выполняет сложные реконструктивные операции для восстановления функции тазового дна и улучшения качества жизни. Независимо от того, столкнулись ли вы с полным опущением матки, опущением стенок влагалища после гистерэктомии или рецидивирующим пролапсом, наша клиника предоставляет высококвалифицированную помощь.

Что такое тяжелый пролапс тазовых органов?

Тяжелые формы пролапса тазовых органов (пролапс тазовых органов 3-4 стадии) характеризуются значительным смещением матки, влагалища, мочевого пузыря или прямой кишки вниз, часто с выпячиванием за пределы входа во влагалище. В отличие от лёгкой степени пролапса, запущенные случаи требуют хирургического вмешательства. В клинике доктора Туницкого даже самые сложные состояния, включая полное выпадение матки и влагалища, сочетанные пороки развития, такие как цистоцеле и ректоцеле, а также рецидивирующий пролапс, корректируются с использованием передовых методов реконструктивной хирургии тазового дна для восстановления анатомии и функции.

In-person consultation

Online-consultation

Second medical opinion

Risk Factors

The development of severe pelvic organ prolapse is influenced by multiple factors:

Multiple or traumatic vaginal deliveries that significantly damage pelvic floor muscles and fascia.
Connective tissue weakness, often genetically determined, causing ligament laxity.
Chronic increased intra-abdominal pressure due to obesity, heavy physical work, constipation, or lung disease.
Age-related tissue atrophy and hormonal changes during menopause.
Previous pelvic surgeries that did not restore proper anatomical support.

Dr. Tunitsky carefully evaluates all risk factors to eliminate consequences of prolapse and prevent recurrence.

Symptoms

Severe prolapse presents with pronounced symptoms that greatly affect daily life:

Persistent sensation of a foreign body in the perineum, worsening with walking or physical activity.
Visible protrusion of organs outside the vaginal opening.
Heaviness, discomfort, and chronic pain in the lower abdomen, sacrum, and lower back.
Urinary and bowel dysfunction: from stress incontinence to urinary retention and difficulty with defecation.
Mechanical discomfort preventing sexual activity.

If you notice these signs, consulting a specialist is strongly recommended. Our clinic provides in-depth diagnostics to assess the extent of prolapse and determine the optimal surgical strategy.

Diagnostics

Comprehensive diagnostics at Dr. Tunitsky’s clinic ensures a successful treatment plan for severe pelvic organ prolapse:

Detailed gynecologic examination and medical history review, using the POP-Q scale to assess prolapse stage.
Vaginal and rectal examination to evaluate pelvic floor function and sphincter integrity.
Transvaginal ultrasound of the pelvic organs to assess organ position and bladder/urethra mobility.
When indicated, urodynamic studies and cystoscopy to analyze urinary function.

This comprehensive approach identifies all defects of the pelvic diaphragm and allows the creation of a personalized surgical reconstruction plan.

Treatment Options and Surgical Methods

Dr. Tunitsky employs modern reconstructive surgery techniques for severe pelvic organ prolapse, selecting the method based on patient age, anatomical features, and desire to preserve organs:

Laparoscopic Promontofixation (Sacrocolpopexy): The gold standard for stage 3-4 prolapse. The vaginal apex and uterus are suspended to the sacrum using a biocompatible mesh through minimally invasive incisions. This method provides reliable support with minimal risk of recurrence.
Self-Fixating Prolapse System (POPS): Modern non-metallic system for vaginal apex fixation.
Sacrospinous Fixation via vaginal approach: An effective alternative for vaginal access reconstruction.
Anterior and/or posterior colporrhaphy with mesh to correct cystocele and rectocele.
Hysterectomy is performed only when uterine preservation is not feasible or safe.

Dr. Tunitsky’s expertise in laparoscopic prolapse surgery ensures minimal trauma, short recovery time, and high efficacy, even in recurrent severe pelvic organ prolapse cases.

Приём у доктора Сергея Туницкого

Если вы столкнулись с серьёзным пролапсом и ищете надёжное лечение, обратитесь к специалисту. Доктор Туницкий предлагает передовые методы хирургического лечения пролапса тазовых органов в Израиле, включая комплексный послеоперационный уход.

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Мы организуем вашу поездку в Израиль и окажем полную поддержку на всех этапах — от диагностики и операции до послеоперационной реабилитации. Верните себе комфорт, уверенность и качество жизни.

Questions and answers on the topic: Surgical Management of Severe Prolapse at Dr. Tunitsky’s Clinic in Israel

What is Dr. Tunitsky’s specialization in treating severe pelvic organ prolapse in Israel?

Dr. Sergey Tunitsky is a recognized expert in reconstructive and plastic pelvic floor surgery. He specializes in complex operations for advanced prolapse (stages III–IV), including total uterine or vaginal vault prolapse after hysterectomy. His approach is based on personalized surgical planning, combining precise anatomical restoration, functional improvement, and aesthetic outcomes.

What advanced surgical techniques are used at Dr. Tunitsky’s Clinic in Israel for severe prolapse?

The clinic utilizes modern laparoscopic technologies such as sacrocolpopexy and laparoscopic promontofixation to provide reliable fixation of the uterus or vaginal vault to the sacrum. Depending on the case, reconstruction may be performed using the patient’s own tissues or high-quality biocompatible meshes. These methods ensure durable results, minimal recurrence risk, and faster recovery.

Why is laparoscopic sacrocolpopexy considered the gold standard, and how does Dr. Tunitsky perform it?

Sacrocolpopexy is regarded as the gold standard because of its proven effectiveness – up to 99%-and minimal tissue trauma. Dr. Tunitsky performs the procedure through small laparoscopic incisions, using advanced optical systems and precision instruments. This technique allows for accurate placement of the mesh implant, minimal bleeding, and quick postoperative recovery for patients.

Is it possible to correct severe prolapse without using mesh implants?

Yes, when clinically appropriate. In selected cases, Dr. Tunitsky performs autologous tissue repair – reconstruction using the patient’s own tissues. The choice between mesh or native tissue repair is made individually after assessing anatomy, age, and overall health to ensure the safest and most effective outcome.

What is the recovery process like after prolapse surgery with Dr. Tunitsky?

Recovery is typically fast thanks to minimally invasive laparoscopic techniques. Most patients can walk within a few hours after surgery and are discharged from the hospital after two to three days. Dr. Tunitsky provides detailed personal recommendations on physical activity, hygiene, and nutrition, while maintaining close medical supervision throughout the rehabilitation period.

Can patients with recurrent prolapse, whose previous surgeries were unsuccessful, be treated successfully?

Yes, revision prolapse surgery is one of Dr. Tunitsky’s key areas of expertise. He carefully evaluates each case using detailed imaging, including MRI when necessary, and applies advanced surgical strategies such as laparoscopic sacrocolpopexy. This allows for stable, long-term correction even after failed previous operations.

What are the main advantages of receiving treatment for severe prolapse from Dr. Tunitsky in Israel?

The main benefits include the surgeon’s high level of expertise, access to advanced surgical technologies, an individualized and attentive approach, comprehensive care for international patients, and transparent pricing without hidden fees.

How safe are mesh-based surgeries, and how are risks minimized?

The risks are very low due to the use of certified, biocompatible materials and precise surgical techniques. Dr. Tunitsky ensures correct implant positioning and careful patient selection, which significantly reduces potential complications such as erosion or pain.

Can surgery for severe prolapse also resolve urinary incontinence?

Yes, in most cases. Severe prolapse often coexists with stress urinary incontinence. During prolapse repair, Dr. Tunitsky can perform an additional corrective procedure such as urethropexy. This comprehensive approach allows both conditions to be treated in a single operation, improving quality of life.

How can an international patient arrange treatment for severe prolapse in Israel?

The process is straightforward and patient-friendly. It begins with an online consultation and medical document review. The clinic’s international coordination team assists with visa arrangements, travel, and accommodation. Upon arrival, patients are supported by a Russian-speaking coordinator who accompanies them throughout their treatment. Dr. Tunitsky’s Clinic in Israel provides a comfortable environment focused entirely on patient safety, recovery, and well-being.