Urogynaecology & Pelvic Floor Care

Pelvic Organ Prolapse Treatment in Nairobi

Do you feel a bulge or heaviness in your vagina, or something “coming down”? It may be prolapse. It is common after childbirth and menopause, and it is treatable.

Dr Bob Achila is Kenya’s first KMPDC-recognised urogynaecology subspecialist. He offers every option, from exercises and pessaries to keyhole and scarless surgery.

Common signs

  • A bulge or lump in the vagina
  • Heaviness or dragging, worse at the end of the day
  • Difficulty emptying your bladder or bowel
  • Leaking urine, or discomfort during sex

Treatment options

Without surgery: pelvic floor exercises, a vaginal pessary (a soft support fitted in the clinic), and vaginal oestrogen after menopause. Many women need nothing more.

Surgery, when needed:

  • Laparoscopic (keyhole) sacrocolpopexy, a durable repair through small cuts
  • Womb-preserving surgery (hysteropexy)
  • vNOTES, scarless surgery through the vagina, which Dr Achila introduced in Kenya
  • Vaginal repair of the front or back wall

Your first visit includes a private examination and, where helpful, a 3D/4D pelvic floor ultrasound. You choose the treatment together, with no pressure to have surgery.

Common questions

Can prolapse be treated without surgery?

Often, yes, especially when it is mild or moderate.

Is it dangerous?

Rarely. See a doctor promptly if you cannot pass urine or the bulge bleeds.

How much does surgery cost?

It depends on the operation, the hospital and your insurance. You will get an estimate after your assessment.

How long is recovery?

Most women go home within a few days and return to light activity within a few weeks.

General information only. It does not replace a medical consultation.

Take the Next Step

Ready to book your consultation?

Call or WhatsApp the practice, or book online at any time, including evenings and weekends. Our team will help you arrange a suitable appointment time.

Online bookings and all appointments are confirmed directly by the practice team.