One of my greatest interests is the treatment of pelvic prolapse and vaginal and sexual dysfunction. There are a multitude of ways to help the woman who is experiencing pelvic symptoms of pressure, bulge, and pain. Sometimes a vaginal device called a pessary can be fitted in the office and provide adequate relief. Sexual dysfunction related to pelvic organ prolapse is obviously not going to respond to pesssary therapy. Curative surgical procedures are very complex and usually involve placement of graft material. This is accomplished without an abdominal incision in the vast majority of cases. This is one of the most interesting and rewarding surgeries I do, requiring proficiency in extensive pelvic dissection and knowledge of deep pelvic anatomy from the vaginal approach. There are many resources available for further patient education, but office consultation is critical.