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Center for Female-Pelvic Medicine and Reconstructive Surgery

The Center for Female Pelvic Medicine and Reconstructive Surgery provides a situation that enables for patients to receive integrated medical care by establishing comprehensive medical services for various clinical problems related to the female pelvis, such as pelvic organ prolapse and urinary incontinence, through the collaboration of the departments of Gynecologic Surgery, Urology, and Colon and Rectal Surgery.

Medical services

The center deals with diseases related to the female pelvic organs. Pelvic organ prolapse is mainly caused by the defect of the supporting tissues of the pelvic floor, and manifests with a variety of symptoms such as cystocele, uterine prolapse, rectocele, and enterocele (vaginal prolapse after hysterectomy). The departments of Gynecologic Surgery, Urology, and Colon and Rectal Surgery work together to solve and provide optimal treatment for reconstruction of pelvic floor.

Diagnosis and treatment policy

The first step in the treatment of pelvic organ prolapse is to improve lifestylerelated conditions such as frequent cough, constipation and obesity, and to carry out pelvic floor muscle training known as Kegel exercises. In cases complicated by urinary incontinence, medication may be combined as an adjunctive therapy. Surgical treatment is required to completely eradicate the issues. In difficult cases of cystocele, uterine prolapse, and rectocele, each department specializes in different surgeries, and the optimal treatment option is presented to the patient after discussion among the different departments.


The center performs minimally invasive surger y for uterine prolapse and cystocele, especially laparoscopic sacralcolpopexy icand robot-assisted sacralcolpopexy. Conventional surgeries such as total vaginal hysterectomy, anterior and posterior colporrhaphia, and Le-Fort colpocleisis are also performed, and appropriate decisions are made based on the patient ’s symptoms, performance status and the state of the pelvic organ prolapse.

Target diseases

Main target diseases include pelvic organ prolapses (cystocele, uterine prolapse, rectocele, and enterocele) and urinary incontinence. We aim to provide reliable medical care through appropriate diagnosis, and difficult cases are welcomed.

Yutaka Osuga

Yutaka Osuga


Gynecologic Surgery, Obstetrics and Gynecology, Perinatal Center, Center for Female Pelvic Medicine and Reconstructive Surgery, Genomic Research Support Center, 22nd Century Medical and Research Center




Reproductive medicine, laparoscopic surgery, assisted reproductive technology

Research Interests

Pathogenesis and management of endometriosis, Ovarian physiology/ pathology


Japanese / English

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