Concierge urogynaecology · UK
Prolapse repair - the right operation, done properly.
Surgery to lift and support a prolapsed bladder, bowel, womb or vaginal vault - repairing with your own tissues wherever possible. A subspecialist urogynaecologist, an honest conversation about mesh, and physiotherapy built into the plan.
Why patients choose us
- 01
A urogynaecologist who repairs prolapse weekly
A named subspecialist surgeon with high prolapse-repair volume - not a general gynaecology list. The right operation, chosen for your compartment and your goals.
- 02
Native-tissue repair, mesh discussed openly
We use your own tissues wherever possible. Vaginal mesh remains restricted in the UK, and we explain the current position honestly before you decide.
- 03
Independent, and free
We are paid by no clinic, so the recommendation - including whether a pessary or physiotherapy would serve you better first - is impartial and costs you nothing.
Indicative pricing
What private prolapse repair costs in the UK.
Indicative ranges across our partner urogynaecology units. Send the details and we quote firm figures across the sensible options, with cover checked.
In short
A single-compartment repair in our network: £5,500–£8,500, home day-case or one night.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Urogynaecology consultation only | £220–£400 | 30–45 min | Same visit |
| Anterior repair (cystocele) | £5,500–£8,500 | 45–75 min | Day-case or 1 night |
| Posterior repair (rectocele) | £5,500–£8,500 | 45–75 min | Day-case or 1 night |
| Combined anterior and posterior repair | £7,000–£11,000 | 60–120 min | 1 night |
| Vaginal hysterectomy with repair | £8,000–£13,000 | 60–120 min | 1–2 nights |
| Sacrospinous fixation (vault) | £7,000–£11,000 | 60–120 min | 1–2 nights |
| Laparoscopic sacrocolpopexy | £10,000–£16,000 | 90–180 min | 1–2 nights |
| Colpocleisis (obliterative repair) | £6,000–£9,000 | 45–90 min | Day-case or 1 night |
Prices vary by hospital, by the surgeon, by how many compartments are repaired, and by whether a hysterectomy or continence procedure is done at the same sitting. Laparoscopic sacrocolpopexy sits at the top of the range. We come back with a firm quote within one working day.
The problem
The right compartment, the right technique, and the truth about mesh.
Prolapse surgery is where general gynaecology quietly under-delivers - the wrong compartment repaired, non-surgical options skipped, the mesh conversation avoided. We fix all three before you consent.
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Repair what is actually prolapsing
Prolapse often affects more than one compartment. A careful examination decides exactly what to repair - and what to leave alone.
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Try the conservative route first
Physiotherapy and a pessary help many women. We recommend surgery when they have not, or when you would rather have a definitive repair.
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Be honest about mesh
Vaginal mesh remains restricted in the UK. We use native-tissue repair by default and explain exactly where any graft is and is not used.
The journey
From enquiry to recovery - what happens, in order.
One team from first message through surgery, physiotherapy and follow-up.
Phase 1 · Before your surgery
Assessment, urodynamics, prehab
Phase 2 · On the day
Theatre and recovery
Phase 3 · After
Review, physiotherapy, follow-up
- 01
Before
You tell us what is going on
A short, confidential form. Symptoms, how long, any bulge, bladder or bowel changes, previous prolapse treatment, and whether you have finished having children.
- 02
Before
We come back with a recommendation
Within one working day: the likely compartment and grade, the operation that fits, whether a pessary or physiotherapy deserves a trial first, and an indicative price.
- 03
Before
Assessment and examination
A urogynaecology consultation with a pelvic examination to grade each compartment. Bladder tests (urodynamics) are arranged if incontinence coexists, and any bleeding is investigated.
- 04
Before
Prehabilitation and planning
Vaginal oestrogen to optimise the tissues, pelvic-floor physiotherapy, weight and smoking advice, and a clear consent conversation about the specific repair and its alternatives.
- 05
On the day
Admission and surgery
Same-day admission, usually under general or spinal anaesthetic. A vaginal repair takes 45–90 minutes; laparoscopic sacrocolpopexy 90–180 minutes. A vaginal pack and catheter are usual overnight.
- 06
On the day
Recovery and discharge
Vaginal repairs are often day-case or one night; sacrocolpopexy is one to two nights. The pack and catheter come out before you go home, once you can pass urine normally.
- 07
After
Review and return to activity
Wound and symptom review at 2–6 weeks. Light activity from the start, but no heavy lifting or intercourse for about six weeks. Physiotherapy supports a durable result.
Typical end-to-end: 3–4 weeks from enquiry to surgery. Return to activity: no lifting or intercourse for about six weeks.
When it helps
When prolapse repair is the right step.
The situations we see most, plus the one red flag that means prompt assessment before any planned surgery.
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Symptomatic bulge that will not settle
A visible or palpable bulge and dragging heaviness that a pessary or physiotherapy has not resolved, or that you would rather have repaired.
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Cystocele affecting the bladder
Front-wall prolapse causing urinary frequency, a poor stream or incomplete emptying - anterior repair restores the support.
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Uterine prolapse
The uterus descending into or beyond the vagina - repaired by vaginal hysterectomy with support, or a uterus-preserving suspension.
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Rectocele affecting the bowel
Back-wall prolapse causing difficulty emptying the bowel or a need to splint - posterior repair rebuilds the wall.
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Vault prolapse after hysterectomy
The top of the vagina descending after a previous hysterectomy - corrected by sacrospinous fixation or sacrocolpopexy.
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Prolapse with stress incontinence
Where a leak on coughing or exercise coexists, a continence procedure can sometimes be planned alongside the repair.
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A definitive repair for the frail
For older women no longer sexually active, colpocleisis offers a quick, durable, low-risk option that closes the vaginal canal.
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Red flag: bleeding, pain or retention
New postmenopausal bleeding, severe pain, or a sudden inability to pass urine needs prompt assessment before any planned surgery.
Repair options
The operation depends on the compartment and your goals.
What each option involves - approach (vaginal, laparoscopic) and target (front wall, back wall, uterus or vault), including the current position on mesh.
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Anterior repair (colporrhaphy)
Rebuilds the front vaginal wall to support a prolapsed bladder, using your own tissues. Usually vaginal and often day-case.
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Posterior repair (colporrhaphy)
Rebuilds the back vaginal wall to support a prolapsed bowel, again with native tissue and a vaginal approach.
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Vaginal hysterectomy with repair
Removes the uterus through the vagina and adds support at the top, the traditional operation for uterine prolapse.
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Uterus-preserving suspension
Hysteropexy lifts and fixes the uterus without removing it, an option for women who wish to keep their womb.
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Sacrospinous fixation
Anchors the vaginal vault to a strong pelvic ligament through a vaginal approach, for uterine or vault prolapse.
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Laparoscopic sacrocolpopexy
Keyhole abdominal repair that suspends the vault to the sacrum with a mesh graft - the most durable option for vault prolapse in suitable women.
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Colpocleisis
An obliterative repair that narrows or closes the vaginal canal. Quick and durable, chosen by women no longer wishing to have vaginal intercourse.
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The mesh question
Transvaginal mesh for prolapse remains restricted in the UK. Abdominal sacrocolpopexy mesh is still used in selected cases; native-tissue repair is otherwise standard.
Our vetted UK network
A small panel of urogynaecologists, we picked them.
Subspecialist urogynaecologists 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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Subspecialist urogynaecologists with high prolapse-repair volume, not general gynaecology lists
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Access to urodynamics and a continence pathway for coexisting bladder symptoms
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Laparoscopic sacrocolpopexy capability for vault prolapse where it is the best option
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Pelvic-floor physiotherapy and menopause support built into the pathway before and after surgery
Safety and recovery
What to expect afterwards - honestly.
Prolapse repair is a well-established operation. The things worth planning are the compartment, the technique, and a steady, physiotherapy-supported recovery.
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Anaesthetic in a proper theatre
Repairs are done under general or spinal anaesthetic. Vaginal repairs are often day-case or one night; sacrocolpopexy is one to two nights.
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Bleeding and infection
A vaginal pack reduces early bleeding. Wound and urinary infections are uncommon and usually settle with antibiotics; call for fever or offensive discharge.
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Difficulty passing urine at first
Temporary urinary retention after the catheter comes out is common. Occasionally a catheter is needed for a few more days until the bladder recovers.
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Injury to bladder, bowel or ureter
A recognised but uncommon risk, higher with more complex repairs. The team is set up to recognise and repair it at the time.
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DVT and PE
Blood-clot prophylaxis - stockings, heparin and early mobilisation - is standard. Call the same day for calf pain, swelling or breathlessness.
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Prolapse can come back
No repair is guaranteed for life. Recurrence rates vary by compartment and technique; physiotherapy, oestrogen and avoiding heavy strain all help it last.
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Effect on sex
Most women return to comfortable intercourse after six weeks. Occasionally repairs cause tightness or discomfort (dyspareunia), which we discuss before surgery.
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Vaginal oestrogen supports healing
For post-menopausal women, vaginal oestrogen before and after surgery improves tissue quality and may reduce recurrence. It is local, not systemic HRT.
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Red flags after surgery
Heavy vaginal bleeding, fever, spreading redness, severe pain, inability to pass urine, or calf pain and breathlessness need the same-day team or A&E.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever repair was performed - vaginal or laparoscopic - the note your surgeon sends you keeps to the same shape.
A quiet reminder
Surgical language is precise and can read coldly - we translate it for you.
If you would like us to talk you through the operation note and your recovery plan before your review, just ask.
- 01 Header
Compartments repaired and approach
Which compartments were corrected - front wall, back wall, uterus or vault - and whether the operation was vaginal, laparoscopic or open.
- 02 Technique
Repair method and any graft
The technique used, whether your own tissues or a graft supported the repair, and any additional procedure such as a continence operation.
- 03 Findings
Intra-operative findings
What was seen at surgery, the condition of the tissues, and any complication managed at the time.
- 04 Plan
Recovery and follow-up
Read this first: activity limits, when to resume intercourse and lifting, catheter arrangements, and the plan for physiotherapy and review.
Recognised by major UK insurers
Prolapse repair is usually covered when medically indicated, though continence add-ons and choice of technique can affect authorisation. We confirm cover before booking.
Frequently asked
Everything we get asked about prolapse repair.
Quick answers on mesh, conservative options, recovery, recurrence, cost and the NHS route.
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Will prolapse repair use mesh?
For most repairs, no. Transvaginal mesh for prolapse remains restricted in the UK following a national safety pause, so native-tissue repair using your own tissues is the standard vaginal approach. Mesh is still used in selected abdominal operations such as laparoscopic sacrocolpopexy, where the evidence supports it. Your surgeon will explain exactly what will and will not be used before you consent.
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Should I try a pessary or physiotherapy first?
Often, yes. Pelvic-floor physiotherapy can improve mild prolapse and its symptoms, and a vaginal pessary can relieve a bulge without surgery. Many women try one or both before deciding on an operation. Surgery is the right first step when the prolapse is advanced, when conservative measures have not helped, or when you would simply prefer a definitive repair - and we will tell you honestly which applies.
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How long is recovery after prolapse surgery?
Most women are home within a day or two and back to light activity quickly. Plan on roughly two to six weeks off work depending on your job, and avoid heavy lifting, straining and vaginal intercourse for about six weeks while the repair heals. A gradual return, supported by pelvic-floor physiotherapy, gives the most durable result.
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Can prolapse come back after repair?
It can. No prolapse repair is guaranteed for life, and recurrence rates vary by which compartment is repaired and the technique used. You can improve the odds of a lasting result by keeping to a healthy weight, treating constipation and chronic cough, using vaginal oestrogen after the menopause, and continuing pelvic-floor exercises. If prolapse does recur, further options remain available.
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How much does private prolapse repair cost in the UK?
Expect roughly £5,500–£8,500 for a single anterior or posterior repair, £7,000–£11,000 for a combined repair or sacrospinous fixation, £8,000–£13,000 for a vaginal hysterectomy with repair, and £10,000–£16,000 for laparoscopic sacrocolpopexy. Colpocleisis is around £6,000–£9,000. We confirm a firm figure within one working day.
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What is the NHS route, and why go private?
Prolapse repair is available on the NHS through urogynaecology services, and the surgery itself is well established. The main differences privately are speed - avoiding a long waiting list - continuity with a chosen subspecialist surgeon, and a scheduled date that fits your life. For many women the NHS route is entirely appropriate; we help when waiting, choice of surgeon, or timing matters most.
Related treatments
Looking for something else?
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Pelvic floor repair
Our overview of pelvic floor reconstruction.
Learn more -
Vaginal pessary fitting
The non-surgical alternative to repair.
Learn more -
Pelvic floor physiotherapy
Muscle training before and after surgery.
Learn more -
Hysterectomy
Uterus removal for uterine prolapse.
Learn more -
Menopause clinic
Vaginal oestrogen to support the tissues.
Learn more -
All tests & procedures
Every test and procedure we arrange.
Learn more