Pelvic organ prolapse (POP) is a condition that affects millions of women, particularly those who have experienced childbirth, menopause, or undergone hysterectomy. When pelvic floor muscles weaken, the bladder, uterus, or rectum can fall into or outside the vaginal canal. This often leads to discomfort, urinary issues, and a diminished quality of life. Fortunately, for women in Houston and the surrounding areas, there are highly advanced treatment options available at the Texas Medical Center under the care of renowned urogynecologist Dr. Peter M. Lotze.
Dr. Lotze is a renowned female pelvic medicine and reconstructive surgery expert who uses both surgical and non-surgical methods. His dedication to tailored care based on each patient’s symptoms, lifestyle, and long-term health goals makes him a top Houston pelvic prolapse specialist.
Understanding The Treatment Landscape
Treating pelvic organ prolapse requires a nuanced understanding of the condition’s severity, progression, and impact on a woman’s daily life. Dr. Lotze emphasizes that no two patients are alike—and neither are their treatment plans. His approach is to listen first, educate second, and then work collaboratively with patients to select the most appropriate treatment strategy.
Treatment options fall into two categories: conservative (non-surgical) management and surgical repair. Each has its merits, and choosing the best route often depends on the degree of prolapse, patient preferences, and overall health.
Conservative Management: A First-Line Approach
For women with mild to moderate prolapse or those who are not immediate candidates for surgery, conservative treatments can be highly effective. To improve pelvic organ-supporting muscles, Dr. Lotze prescribes pelvic floor physical therapy. This may involve targeted exercises such as Kegels, biofeedback therapy, or electrical stimulation. These treatments aim to stabilize the pelvis, alleviate discomfort, and stop prolapse.
Another key conservative option is the use of vaginal pessaries—custom-fitted medical devices inserted into the vagina to support the prolapsed organ. Pessaries can be worn long-term and are a popular choice for women seeking to avoid or delay surgery. Under Dr. Lotze’s care, pessary fittings are conducted with attention to comfort, effectiveness, and ongoing monitoring.
Hormone therapy may also play a role, especially in postmenopausal women, by improving tissue elasticity and reducing symptoms. For many patients, combining multiple conservative methods under a tailored treatment plan leads to significant symptom relief without the need for invasive procedures.
Surgical Intervention: Reconstructive Excellence
When prolapse becomes severe or conservative methods no longer provide relief, surgical repair is often the most effective solution. Dr. Lotze’s extensive training in minimally invasive pelvic reconstructive surgery ensures that patients have access to the most advanced and least disruptive surgical options available.
Surgical treatment may involve vaginal, laparoscopic, or robotic techniques to restore the normal position of the pelvic organs. These procedures are designed not only to correct the prolapse but also to improve function and quality of life. Depending on the type and severity of the prolapse, Dr. Lotze may perform procedures such as sacrocolpopexy, vaginal vault suspension, or uterine-sparing techniques. His surgical philosophy focuses on durability, minimal discomfort, and a faster recovery time.
As a board-certified prolapse repair surgeon in Houston, Texas, Dr. Lotze is particularly known for his skill in balancing anatomical correction with the preservation of vaginal and sexual function—an aspect often overlooked in generalized treatment approaches. His experience in managing complex cases, especially recurrent prolapse or previous failed surgeries, makes him a trusted resource for patients seeking second opinions or advanced care.
Personalized Treatment At Texas Medical Center
What truly distinguishes Dr. Lotze is his commitment to individualized care. At his practice in the Texas Medical Center, one of the nation’s leading medical hubs, every patient undergoes a comprehensive evaluation. This includes a detailed discussion of symptoms, physical examination, diagnostic imaging if needed, and an exploration of treatment goals.
Dr. Lotze believes that successful treatment goes beyond fixing anatomy. It’s about restoring a woman’s confidence, comfort, and ability to live a full, active life. He spends time educating his patients on all available options—detailing both the potential benefits and limitations—so they feel empowered to make informed decisions.
Whether a patient is best suited for a non-surgical route or advanced reconstructive surgery, the care plan is always built with empathy, expertise, and long-term health in mind.
A Houston Leader In Pelvic Health
The sensitive and life-changing condition of pelvic organ prolapse doesn’t have to define your daily existence. Women in the Houston area have access to one of the most respected names in urogynecology. As a trusted prolapse repair surgeon in Houston, Texas, Dr. Lotze is committed to helping each woman reclaim her comfort and well-being.