Vaginal Prolapse Specialist

Central Texas Urogynecology and Continence Center

Urogynecologists located in Austin, TX

Dr. Tomas G. Antonini, at the Central Texas Urogynecology and Continence Center in Austin, Texas, is a skilled surgeon and an expert in urogynecological care. He prefers minimally invasive procedures to treat pelvic organ prolapse due to highly effective results and decreased recovery time that leads to a quicker return to normal routines. Call the office today or schedule an appointment online.

Vaginal Prolapse Q & A

What is pelvic organ prolapse?

Pelvic organ prolapse, or drooping, occurs when muscle weakness or damage decreases the effectiveness of the normal supportive structures of the pelvic floor. Pelvic organs include the vagina, cervix, uterus, bladder, urethra, bowel, and rectum. They’re held in place by muscles and layers of connective tissue.  The possibility of developing pelvic organ prolapse increases after childbearing and as women age.

What are the types of pelvic organ prolapse?

  • Cystocele: This type occurs when the muscles or tissue supporting the bladder stretches or detaches from the pelvic bones. The loss of support causes the bladder to fall down into the vagina.
  • Rectocele: This occurs when the supportive tissue between the vagina and rectum stretches or detaches from the pelvic bones. This allows the rectum or intestines fall into the vagina.
  • Vaginal vault or uterine prolapse: This type occurs when supportive tissues holding the cervix and uterus in place stretch or weaken, allowing the cervix and uterus to fall. The top part of the vagina, the vaginal vault, can also detach from the ligaments and muscles of the pelvic floor and fall into the vagina.

What are the symptoms?

Symptoms may vary in intensity and type according to how severe the prolapse is. You may experience:

  • A sensation of heaviness in the pelvic region
  • Chronic backaches
  • The sensation of a mass bulging into the vaginal canal
  • A mass bulging out of the vagina that may make it difficult to stand or walk
  • Urinary incontinence or leakage
  • Vaginal bleeding
  • Pain and discomfort in the lower abdomen and pelvic area

What is surgery like?

Dr. Antonini often recommends robotic-assisted surgery with the da Vinci system. He’s performed more than 500 surgical procedures with this device and finds it highly effective in treating pelvic organ prolapse. It’s a minimally invasive procedure that requires a few small incisions to insert the surgical instruments he uses to complete the procedure. It’s akin to laparoscopic surgery but takes that to the next level with its highly advanced technology. There are fewer risks of complications, less bleeding, only minimal scarring from the small incisions, and much less pain and discomfort afterward.


Central Texas Urogynecology and Continence Center accepts most major insurance, including Medicare. At this time, we do not accept Medicaid. If you have any questions about your eligibility or coverage, please call our office. We are happy to help you!

Assurant Health
Blue Cross Blue Shield
Molina Healthcare
United Healthcare