Pelvic Reconstructive Surgery in Marietta, GA

If you have been diagnosed with pelvic organ prolapse and are in need of surgery, it is important to know all of your options before you seek surgical treatment. With many years of experience, Nikolas Symbas, MD is a board-certified urologist that is highly trained in the most advanced procedures for pelvic organ prolapse.

Why Choose Dr. Symbas?

Dr. Symbas has performed more than 273 sacrocolpopexies in his career as a urologist. He is set apart in that he often includes, when clinically appropriate, a paravaginal repair during the surgery which supports the side walls of the vagina. He includes this to help aesthetically.

Dr. Symbas Sacrocolpopexy

What is Pelvic Organ Prolapse?

It can be difficult talking about intimate health problems – pelvic organ prolapse is a condition that affects millions of women. Many women delay, or never seek treatment that could cure or drastically reduce their symptoms. Prolapse is not a fact of aging or something you need to live with; you are not alone and you have treatment options.

Pelvic organ prolapse occurs when muscles and ligaments in the pelvic floor are stretched or become too weak to hold the organs in the pelvis in their proper place. This can cause pain and discomfort and have a major impact on your day to day quality of life.

Potential causes that weaken and stretch the pelvis muscles include:

  • Pregnancy and childbirth
  • Aging and menopause
  • Obesity
  • Fibroids and pelvic tumors
  • Long-term (chronic) coughing
  • Long-term (chronic) constipation
  • Lifting heavy objects
  • Prior pelvic surgery
  • Some neurological conditions or spinal cord injuries

Types of Pelvic Organ Prolapse

There are several types of pelvic organ prolapse, with different names depending on the organs involved.

Cystocele occurs when the anterior vaginal wall becomes weak, allowing the bladder to protrude into the vagina.


Rectocele occurs when the back of the vaginal wall weakens, which allows the rectum to protrude into the vagina.


Enterocele occurs when the small intestine drops and protrudes through the vagina.

Prolapse Enterocele

Vaginal Vault Prolapse occurs when the top of the vaginal wall loses its support and drops into the vagina. (post-hysterectomy)

Prolapse Vaginal

Uterine prolapse occurs when the uterus slips out of its normal position and drops into the vagina.

prolapse uterine

Dr. Symbas will assess which type of prolapse you have. It is possible that you may have more than one type at the same time.

Signs of Pelvic Organ Prolapse

Women with pelvic organ prolapse may or may not experience any symptoms. However, without treatment, the symptoms will become more significant, painful or even debilitating. Symptoms usually get worse with activity and get better with rest. Symptoms may include:

  • Heaviness or pressure on the pelvis
  • Vaginal pain, pressure or bleeding
  • A bulge protruding from the vagina
  • Pain during sexual intercourse
  • Urinary or fecal incontinence
  • Slow urinary stream or urinary urgency
  • Needing to splint or put fingers in vagina to help defecate

Schedule a Pelvic Organ Prolapse Consultation in Marietta, GA

The symptoms for prolapse can be the same as other medical conditions. It is important that you speak with Dr. Symbas about your diagnosis and treatment options. To schedule an appointment, call our office at (770) 428-4475 today, or request an appointment through our secure online form.

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