Which of the following is a surgical option for severe pelvic organ prolapse?

• A. Pelvic floor physical therapy.
• B. Sacrocolpopexy.
• C. Bladder training.
• D. Ur urinary catheterization.

Answer: (B)

When prolapse is severe, the goal is to restore support to the pelvic organs, especially the apex. Sacrocolpopexy achieves this by suspending the vaginal vault (or uterus) to the sacrum with a graft, typically through open, laparoscopic, or robotic approaches. This provides durable apical support and a good likelihood of symptom relief, which is why it stands out as the surgical option of choice for advanced prolapse. In contrast, pelvic floor physical therapy is a conservative approach aimed at strengthening the pelvic muscles and can help with mild to moderate prolapse or post-treatment rehabilitation, but it does not correct advanced anatomical defects. Bladder training focuses on bladder storage and urge symptoms, not the structural prolapse. Urinary catheterization is a management strategy for urinary retention or voiding issues, not an intervention to correct prolapse anatomy.