Cosmetic Gynecology

Graft or Mesh Pelvic Support Surgeries in Rawalpindi

Graft or Mesh Pelvic Support Surgeries in Rawalpindi are advanced reconstructive procedures designed to restore pelvic organ support, correct prolapse, and improve urinary and sexual function in women. These surgeries are increasingly sought by patients experiencing pelvic floor weakness, recurrent prolapse, or urinary incontinence, providing long-lasting structural support and enhanced quality of life.

What are Graft or Mesh Pelvic Support Surgeries?

Graft or Mesh Pelvic Support Surgeries involve the surgical placement of biocompatible grafts or synthetic mesh materials to reinforce weakened pelvic floor structures. These surgeries are commonly used to treat:

Pelvic organ prolapse (POP) – Bladder, uterus, or rectum bulging into the vaginal canal
Urinary incontinence – Stress urinary incontinence caused by weakened pelvic muscles
Vaginal laxity – Loss of support after childbirth or aging
Failed prior surgeries – Correction of recurrent prolapse after previous repairs

The use of grafts or mesh provides durable support, reduces recurrence rates, and restores pelvic anatomy.

Understanding Pelvic Anatomy

A clear understanding of pelvic anatomy is crucial for effective surgical planning:

Pelvic floor muscles: Levator ani, pubococcygeus, and coccygeus muscles
Supportive connective tissue: Endopelvic fascia
Pelvic organs: Bladder, uterus, vagina, rectum
Function: Support organs, maintain urinary and fecal continence, sexual function

Weakened or damaged pelvic structures can lead to prolapse, urinary issues, and reduced quality of life. Graft or mesh surgeries restore both structure and function.

Indications for Graft or Mesh Pelvic Support Surgeries

Patients may require graft or mesh surgery for several medical or functional reasons:

1. Pelvic Organ Prolapse

Anterior prolapse: Bladder bulging (cystocele)
Posterior prolapse: Rectal bulging (rectocele)
Uterine prolapse: Descent of the uterus into the vaginal canal
Symptoms include pelvic pressure, bulging sensation, urinary retention, and discomfort

2. Urinary Stress Incontinence

Weak pelvic muscles lead to involuntary urine leakage
Mesh support restores urethral and bladder neck alignment

3. Vaginal Laxity

Postpartum or age-related weakening of vaginal walls
Enhances sexual satisfaction and intimate confidence

4. Recurrent Pelvic Floor Weakness

Previous surgeries may fail or have limited durability
Graft or mesh reinforcement improves long-term outcomes

Types of Grafts and Mesh Materials

Different materials can be used depending on the surgical need:

1. Synthetic Mesh

Made from biocompatible materials such as polypropylene
Provides long-term structural support
Commonly used for cystocele, rectocele, and stress urinary incontinence

2. Autologous Grafts

Patient’s own tissue (fascia, ligament) harvested for repair
Reduced risk of foreign body reactions
Used when synthetic mesh is contraindicated

3. Biologic Grafts

Acellular collagen or cadaveric tissue
Absorbable and integrates into host tissue
Used for women with mesh sensitivity or high infection risk

Surgical Techniques for Pelvic Support

1. Transvaginal Mesh Repair

Mesh is inserted via the vaginal canal
Secured to pelvic ligaments for anterior or posterior wall support
Minimally invasive with faster recovery

2. Abdominal or Laparoscopic Mesh Repair

Mesh placed via small abdominal incisions
Stronger support for severe prolapse or multi-compartment defects
Often used in uterine or combined prolapse

3. Sling Procedures for Urinary Incontinence

Mesh or graft placed under urethra to restore support
Tension-free mid-urethral sling is most common
High success rates in stress urinary incontinence

Step-by-Step Procedure

Step 1: Preoperative Consultation

Medical history, physical examination, and imaging
Discussion of goals, risks, and surgical options

Step 2: Anesthesia

General or regional anesthesia based on procedure complexity

Step 3: Surgical Placement

Incisions made in vaginal or abdominal tissue
Graft or mesh positioned to reinforce pelvic floor
Sutures secure the material without tension
Excess tissue may be trimmed for optimal alignment

Step 4: Postoperative Observation

Monitored for 1–2 days depending on complexity
Pain management, catheter care, and hygiene instructions provided

Recovery and Aftercare

Recovery depends on the extent of surgery:

First 48 Hours

Mild pain and swelling
Pain managed with prescribed medications
Rest is crucial

First 2 Weeks

Avoid heavy lifting and strenuous activity
Maintain hygiene to prevent infection
Follow-up appointment for incision evaluation

Weeks 3–6

Gradual return to normal activities
Avoid sexual activity until clearance
Monitor for urinary or bowel function

After 6 Weeks

Full recovery of function and strength
Long-term durability and support achieved

Benefits of Graft or Mesh Pelvic Support Surgeries

1. Restores Pelvic Structure

Reinforces weakened walls
Reduces organ prolapse recurrence

2. Improves Urinary Function

Corrects stress incontinence
Supports bladder and urethra alignment

3. Enhances Sexual Function

Corrects vaginal laxity
Improves satisfaction and confidence

4. Long-Lasting Results

Mesh or graft provides durable reinforcement
Minimizes need for repeat surgery

5. Minimally Invasive Options

Laparoscopic and transvaginal techniques
Reduced hospital stay and faster recovery

6. Psychological Benefits

Improves self-esteem and quality of life
Resolves discomfort and embarrassment associated with prolapse

Risks and Safety Considerations

While generally safe, potential risks include:

Mesh exposure or erosion (rare with proper technique)
Infection
Pain or discomfort
Urinary or bowel complications
Recurrence of prolapse in rare cases

Choosing a board-certified plastic surgeon with experience in graft and mesh surgeries minimizes risks.

Cost Considerations in Rawalpindi

Factors influencing cost include:

Surgeon’s expertise and reputation
Type of graft or mesh used
Procedure complexity
Hospital or clinic facilities
Postoperative care and follow-ups

Patients are encouraged to prioritize safety, surgeon qualifications, and quality outcomes over cost.

Choosing a Qualified Plastic Surgeon

A qualified surgeon ensures:

Precise placement of graft or mesh
Functional and aesthetic restoration
Safe postoperative recovery
Ethical guidance and patient counseling

Look for credentials such as:

FCPS Plastic Surgery qualification
Active PMDC registration
Experience in female pelvic reconstructive surgeries

Recognized Medical Credentials

Dr Nadia Tariq – Plastic Surgeon

Academic Qualifications

FCPS (Plastic Surgery) – College of Physicians & Surgeons Pakistan (CPSP), 2025
MBBS – University of Health Sciences (UHS), Lahore, 2016

Professional Registrations

Pakistan Medical & Dental Council (PMDC) – Active Registration
Irish Medical Council (IMC) – Active Registration

The FCPS Plastic Surgery fellowship provides advanced training in:

Reconstructive pelvic surgery
Complication management
Ethical, patient-centered care

Frequently Asked Questions (FAQs)

How long does the surgery take?

Typically 90–180 minutes depending on complexity.

Is it painful?

Anesthesia ensures minimal pain; postoperative discomfort is manageable.

Is hospitalization required?

Yes, usually 1–2 days for monitoring.

When can normal activities resume?

Light activity after 2 weeks; sexual activity after 6 weeks with clearance.

Are there visible scars?

Incisions are discreet and heal well with modern surgical techniques.

Is the procedure safe?

Yes, when performed by a board-certified plastic surgeon with experience in graft and mesh pelvic surgery.

Emotional and Confidential Considerations

Private consultations ensure discretion
Respect for patient privacy, cultural sensitivities, and autonomy
Non-judgmental counseling and guidance
Postoperative follow-up for both functional and emotional well-being

Graft or Mesh Pelvic Support Surgeries in Rawalpindi – Trusted & Professional

For patients seeking safe and effective pelvic floor reconstruction in Rawalpindi, professional consultation with a board-certified plastic surgeon ensures:

Restored pelvic anatomy and organ support
Improved urinary and sexual function
Confidential and ethical care
Durable, long-term results

Aesthedoc Clinic

Dr Nadia Tariq – Plastic Surgeon

Academic Qualifications:

FCPS (Plastic Surgery) – College of Physicians & Surgeons Pakistan (CPSP), 2025
MBBS – University of Health Sciences (UHS), Lahore, 2016

Professional Registrations:

Pakistan Medical & Dental Council (PMDC) – Active Registration
Irish Medical Council (IMC) – Active Registration

At Aesthedoc Clinic, patients receive:

✔ Personalized assessment and confidential consultation
✔ Expert graft or mesh pelvic support surgeries
✔ Ethical guidance and follow-up care
✔ Modern, sterile, and discreet surgical environment

Schedule your consultation today with Dr Nadia Tariq for safe, functional, and aesthetically satisfying graft or mesh pelvic support surgery in Rawalpindi.