Concierge urogynaecology · UK
Pelvic floor repair - prolapse surgery, without the spin.
Native-tissue repair of the vaginal walls and apex by a consultant urogynaecologist - offered after physiotherapy and pessaries have had a fair chance, with the recurrence numbers on the table before you consent.
Why patients choose us
- 01
A urogynaecologist with real repair volume
Prolapse surgery outcomes track surgeon caseload. We introduce consultants who repair pelvic floors week in, week out - with their recurrence figures available to you.
- 02
Surgery last, and mesh-free
You will have been offered physiotherapy and a pessary first, and every repair we arrange uses your own tissue, in line with current UK guidance. No exceptions without an MDT.
- 03
Independent, and free
We are paid by no clinic, so the recommendation - including whether you need an operation at all - is impartial and costs you nothing.
Indicative pricing
What private pelvic floor repair costs in the UK.
Indicative package ranges across our partner gynaecology units. Send the details and we quote firm figures across two or three options, with cover checked.
In short
A single-compartment repair in our network: £5,500–£8,500, home after 1–2 nights.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Anterior repair (cystocele - bladder bulge) | £5,500–£8,500 | 60–90 min | 1–2 nights |
| Posterior repair (rectocele - bowel bulge) | £5,500–£8,500 | 60–90 min | 1–2 nights |
| Combined anterior and posterior repair | £7,000–£10,500 | 90–120 min | 1–2 nights |
| Vaginal hysterectomy with pelvic floor repair | £9,500–£14,000 | 120–180 min | 2–3 nights |
| Sacrospinous fixation or apical support procedure | £6,500–£10,000 | 60–120 min | 1–2 nights |
| Urogynaecology consultation only | £250–£450 | 45 min | Same visit |
Prices vary by hospital, by the consultant, and by what the operation includes - combined and apical procedures sit at the top of each range. The same surgery is free on the NHS with waits that vary by region; where that route serves you well, we say so. Firm quotes within one working day.
The problem
The right operation, on the right compartment, with the right expectations.
Prolapse surgery disappoints when the apex is ignored, the counselling is rosy, or the operation was never needed. We guard against all three.
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Fix the apex, not just the wall
A front-wall repair fails early when unsupported apical descent is missed. Proper POP-Q staging before surgery decides what the operation must include.
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Counsel with lifetime numbers
One in four women needs further prolapse treatment after a first repair. You should hear that before consenting - from us and from your surgeon.
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Only operate on symptoms
Prolapse seen on examination but not felt in life needs no surgery. The operation treats the bother, not the anatomy.
The journey
From enquiry to a healed repair - what happens, in order.
One team from first message through staging, surgery, the six recovery weeks and the physiotherapy that protects the result.
Phase 1 · Before your surgery
Staging, options, the decision
Phase 2 · In hospital
Theatre and recovery
Phase 3 · After
Healing, review, maintenance
- 01
Before
You tell us what is going on
A short, confidential form. The bulge or heaviness, bladder and bowel symptoms, births and previous surgery, and what conservative treatment you have tried.
- 02
Before
We come back with a recommendation
Within one working day: the right urogynaecologist, whether surgery is genuinely the next step, and an indicative price. If a pessary or physiotherapy deserves a proper trial first, we say so.
- 03
Before
Assessment and staging
Examination with POP-Q staging of exactly which compartments have dropped, bladder and bowel symptom scores, and urodynamics where stress incontinence needs unmasking before repair.
- 04
Before
Choosing the operation together
Anterior, posterior, apical or combined repair - with or without vaginal hysterectomy - decided with you, with honest lifetime-recurrence numbers on the table before you consent.
- 05
In hospital
Admission and surgery
Same-day admission, general or spinal anaesthetic. The vaginal wall is opened, the supporting fascia stitched and reinforced with your own tissue, excess skin trimmed - typically 60–120 minutes.
- 06
In hospital
Recovery and discharge
A catheter and vaginal pack overnight for most. Home after one night, occasionally two, walking comfortably and with written recovery guidance in hand.
- 07
After
Review and the long game
Review at 6 weeks with symptom re-scoring. No heavy lifting for 6 weeks, intercourse after 6 weeks when comfortable, and pelvic floor physiotherapy to protect the repair for the years ahead.
Typical end-to-end: 3–6 weeks from enquiry to surgery. Core recovery: 6 weeks, strengthening for months after.
When it helps
When pelvic floor repair is the right step.
The situations we see most, plus the red flags that mean urgent review rather than a routine listing.
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A bulge you can feel or see
Something coming down at the vaginal entrance, worse by evening or after standing - the defining symptom of prolapse that has progressed.
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Heaviness that limits your life
Dragging discomfort that stops exercise, work or intimacy despite a properly fitted pessary and completed physiotherapy.
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Bladder emptying trouble
A cystocele that kinks the urethra - slow flow, incomplete emptying, recurrent infections - mechanically improved by anterior repair.
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Bowel emptying trouble
Needing to press on the vaginal wall to empty the bowel (splinting) - the classic symptom a posterior repair addresses.
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Prolapse returning after previous surgery
Recurrent prolapse needs a different, often apical, operation - and a surgeon whose practice includes revision work.
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Pessary tried, and not for you
Pessaries suit many but not all - repeated expulsion, discomfort or simple preference for a definitive fix are all legitimate reasons to operate.
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Uterine or vault descent
When the uterus or a post-hysterectomy vault drops, apical operations - sacrospinous fixation and relatives - restore the top of the vagina.
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Red flag: cannot pass urine, or bleeding
A prolapse with urinary retention, ulceration or postmenopausal bleeding needs urgent assessment - same-week review, not a routine listing.
Repair options
The operation follows the anatomy that has failed.
What each repair involves - front wall, back wall, apex or several at once - and why every one of them is now performed with your own tissue.
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Anterior colporrhaphy
Repair of the front vaginal wall for a cystocele. The stretched supporting fascia between vagina and bladder is folded and stitched, restoring support.
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Posterior colporrhaphy
The mirror-image repair of the back wall for a rectocele, often with perineal body reconstruction where childbirth injury has widened the entrance.
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Combined repair
Anterior and posterior walls repaired in the same operation - common, since compartments rarely fail alone.
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Sacrospinous fixation
The vaginal apex or cervix is stitched to the sacrospinous ligament through a vaginal approach - the workhorse apical support operation.
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Vaginal hysterectomy with repair
Where the uterus itself has descended, removing it vaginally and supporting the vault alongside wall repairs treats the whole problem at one sitting.
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Uterus-preserving options
Hysteropexy techniques support the uterus without removing it - an important choice for women who want to keep it, discussed openly.
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Abdominal and laparoscopic routes
Sacrocolpopexy and laparoscopic suspensions approach support from above - considered for vault prolapse and recurrences, in centres with that expertise.
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Why not mesh?
Transvaginal mesh for prolapse is no longer used in the UK after the Cumberlege review. Native-tissue repair is the standard; abdominal mesh sacrocolpopexy remains an option only via specialist MDT decision.
Our vetted UK network
A small panel of urogynaecologists, we picked them.
Consultant urogynaecologists and pelvic floor surgeons across London and the major UK cities. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every surgeon in our network.
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Consultant urogynaecologists with high native-tissue repair volume and audited outcomes
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POP-Q staging and symptom scores documented before and after every operation
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Conservative options - physiotherapy and pessaries - genuinely offered before listing
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Revision and apical-support expertise for recurrent and complex prolapse
Safety and recovery
What to expect afterwards - honestly.
A safe and common operation, whose honest counselling turns on two things: recurrence over a lifetime, and the six disciplined weeks of healing.
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A well-trodden operation
Pelvic floor repair is one of the commonest gynaecological operations in the UK. In experienced hands it is safe, with most women home the next day and walking immediately.
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Recurrence - the honest number
Prolapse can return: over a lifetime, roughly one in four women needs further prolapse treatment after a first repair. Good surgery, weight management and pelvic floor training all lower the odds.
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Bladder and bowel function can change
Repair can unmask stress incontinence hidden by the bulge, or temporarily slow bladder emptying. Urodynamics beforehand and honest counselling mean no surprises.
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Pain and intercourse
Most women report intercourse the same or better after healing. A minority experience new discomfort - over-tightening is the avoidable cause, and another reason surgeon experience matters.
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Bleeding, infection, injury
Significant bleeding, infection, and injury to bladder or bowel each occur in a small percentage of cases. DVT prevention and antibiotics are routine.
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The catheter and the pack
A urinary catheter and a vaginal pack usually stay overnight to protect the repair - both out before you go home, after a check that your bladder empties well.
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Six gentle weeks
Walking from day one, back to a desk in 2–4 weeks, no lifting beyond a kettle for 6 weeks, and intercourse deferred 6 weeks. The repair strengthens as scar tissue matures over months.
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Protecting the result
Chronic cough, constipation, heavy lifting and high-impact loading strain the repair. Managing them - plus maintenance pelvic floor exercises - is part of the operation’s aftercare, not an optional extra.
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Red flags after surgery
Heavy fresh bleeding, fever, inability to pass urine, worsening pain or offensive discharge need the same-day team or A&E - never the six-week review.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever compartments were repaired, the note the urogynaecologist sends you keeps to the same shape.
A quiet reminder
Colporrhaphy, POP-Q, perineorrhaphy - surgical Latin obscures a simple repair. We translate it for you.
If you would like us to talk you through the operation note before your six-week review, just ask.
- 01 Header
What had prolapsed, and how far
The compartments involved and their POP-Q stage, the symptoms driving surgery, and the conservative treatment tried beforehand.
- 02 Technique
The repair performed
Which walls were repaired, any apical support or hysterectomy performed, the suture material used, and whether the perineum was reconstructed.
- 03 Findings
What the surgeon found and achieved
Tissue quality, any unexpected findings, the support achieved on the table, and bladder emptying confirmed before discharge.
- 04 Impression
Recovery rules and follow-up
Read this first: the lifting and activity limits with their dates, catheter and wound advice, the six-week review, and the physiotherapy plan that protects the repair.
Recognised by major UK insurers
Symptomatic prolapse repair is usually covered by UK health insurers when medically indicated. We confirm cover before booking.
Frequently asked
Everything we get asked about pelvic floor repair.
Quick answers on the operation, mesh, recurrence, cost and recovery.
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What exactly is a pelvic floor repair?
An operation, performed through the vagina, that mends the stretched supporting tissue letting the bladder (cystocele), bowel (rectocele) or uterus bulge into the vaginal wall. The surgeon opens the vaginal skin, folds and stitches the underlying fascia to rebuild support using your own tissue, and trims the excess. Depending on what has dropped it may be a front-wall repair, a back-wall repair, both, or combined with an apical support procedure or vaginal hysterectomy.
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Do I have to try a pessary and physiotherapy first?
In almost all cases, yes - and you should want to. UK guidance recommends supervised pelvic floor physiotherapy for milder prolapse and a pessary trial for anyone who wants one, because both can control symptoms without surgical risk, and many women are satisfied long term without an operation. Surgery is for symptoms that persist despite those options, or for women who have weighed them and prefer a definitive repair. We make sure that sequence has genuinely happened.
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Will the prolapse come back after surgery?
It can, and honest counselling includes the number: over a lifetime, roughly one woman in four who has prolapse surgery needs further treatment at some point - though many recurrences are mild and managed without another operation. Risk is lowered by an experienced surgeon, addressing the apex when it is weak, maintaining a healthy weight, avoiding chronic straining, and keeping up pelvic floor exercises after healing.
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Is mesh used in these repairs?
No. Transvaginal mesh for prolapse is no longer used in the UK following the Cumberlege review, and every repair we arrange is a native-tissue operation using your own supporting fascia and dissolvable stitches. The one context where mesh still has a role is abdominal sacrocolpopexy for vault prolapse, which is only offered through specialist MDT decision-making with full disclosure - and never as a default.
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How much does private pelvic floor repair cost in the UK?
A single-compartment repair - anterior or posterior - typically costs £5,500–£8,500 as an all-in package including hospital, surgeon and anaesthetist fees. A combined repair runs £7,000–£10,500, apical procedures £6,500–£10,000, and vaginal hysterectomy with repair £9,500–£14,000. The same surgery is available on the NHS with variable waits. We confirm a firm itemised figure within one working day.
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What is recovery really like?
Gentler than most women fear, but longer than the wound suggests. Expect one or two nights in hospital, walking from day one, and desk work at two to four weeks. The strict rules are no lifting heavier than a kettle and no intercourse for six weeks while the deep repair heals; the tissue keeps strengthening for months. Some spotting and discharge for a few weeks is normal. The six-week review confirms healing and restarts pelvic floor physiotherapy to protect the result.
Related treatments
Looking for something else?
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Pelvic floor disorder treatment
The full staged pathway, surgery included.
Learn more -
Pelvic floor physiotherapy
The first-line treatment - and post-op protection.
Learn more -
Hysterectomy
Sometimes combined with prolapse repair.
Learn more -
Pelvic exam
The assessment where staging happens.
Learn more -
Menopause - condition guide
Oestrogen and pelvic tissue health.
Learn more -
All tests & procedures
Every test and procedure we arrange.
Learn more