- All surgery carries risk; being told the numbers is your right.
- Most modern primary repairs avoid mesh in the vagina.
- Good informed consent is a conversation, not a signature.
General surgical risks
Bleeding, infection, blood clots (DVT/PE), reaction to anaesthesia and delayed healing are risks common to all pelvic surgery. Modern protocols — early mobilisation, mechanical and pharmacological thromboprophylaxis, antibiotics — keep these low but not zero.
Specific to pelvic floor surgery
Injury to the bladder or bowel is uncommon but recognised. Difficulty passing urine in the first days after surgery affects a small minority and usually resolves. Discomfort during sex (dyspareunia) can occur if the repair is over-tightened — an argument for surgeons who prioritise function over cosmesis. Recurrence of prolapse over time occurs in roughly one in ten patients.
Mesh-related risks
Because the vast majority of modern primary repairs are native-tissue operations, mesh-specific complications (erosion, chronic pain) do not apply. Where abdominal mesh (sacrocolpopexy/hysteropexy) is used, mesh exposure occurs in fewer than 2% of patients in high-volume series.
Informed consent
Good consent is a conversation, not a signature. If you leave a preoperative appointment without knowing your operation's name, alternatives, expected recovery and specific risks in numbers — the conversation has not been complete.
Frequently asked questions
What is the risk of major complication?
For elective prolapse repair in a high-volume centre, major complication rates are typically 1–3%.
What is the risk of needing a re-operation?
Around 10% over ten years for primary native-tissue repair; lower for sacrocolpopexy.
Could a doctor-led plan help you?
A 30-minute video consultation with Dr Berra Önsoy — reviewing your symptoms, any UK imaging or referral notes, and giving you a clear, personalised next step. Suitable for women considering treatment from anywhere in the UK.
Request a video consultation