Minimally Invasive Uterine Prolapse Surgery – Advanced Gynaecological Care at Plodnost Hospital
27 April 2025

Uterine prolapse is a common yet often overlooked condition that can significantly affect a woman’s quality of life. It occurs when the muscles and tissues of the pelvic floor weaken, allowing the uterus to descend into or even outside of the vaginal canal. At Plodnost Hospital in Bitola, we offer specialized treatment using the most advanced surgical techniques to provide fast, safe, and lasting relief.
Recently, our gynecological team treated a patient diagnosed with advanced-stage uterine prolapse—a condition associated with symptoms such as pelvic pressure, heaviness, discomfort during walking, and urinary difficulties. For this case, our team opted for a minimally invasive approach: vaginal hysterectomy.
A vaginal hysterectomy involves the surgical removal of the uterus through the vaginal canal, eliminating the need for abdominal incisions. This approach offers several benefits for the patient:
-
Less post-operative pain
-
Faster recovery time
-
Lower risk of complications
-
Shorter hospital stay


To ensure proper anatomical support and prevent recurrence, we also performed a Richter’s vault suspension—a procedure that provides reinforcement of the vaginal vault by anchoring it to stable pelvic structures. This added intervention plays a vital role in preserving pelvic stability and avoiding future prolapse.
These surgical methods represent some of the most advanced practices in modern gynecological care. At Plodnost Hospital, we always prioritize a patient-centred approach—every woman deserves a treatment plan that is both effective and respectful of her body. By applying world-class techniques, we continue to raise the standard of care for women across North Macedonia and beyond.
Our surgical team, led by laparoscopic gynecologist Dr Hristijan Trpchevski, is dedicated to implementing cutting-edge methods that combine precision, efficiency, and compassion. Dr Trpchevski and the team have helped hundreds of women resolve complex pelvic issues with less invasive techniques and a commitment to excellent outcomes.
We encourage women experiencing symptoms of pelvic heaviness, discomfort, incontinence, or difficulty walking to seek expert evaluation. Early diagnosis and timely intervention can greatly improve quality of life and prevent the condition from worsening.
Plodnost Hospital is proud to be one of the few institutions in Southeast Europe offering such advanced and minimally invasive solutions for uterine prolapse. If you or a loved one are dealing with similar issues, contact us today to learn more about your options.
📍 Plodnost Hospital, Bitola