Pelvic Floor Prolapse (Sagging) after Coccygectomy

  • At the time of surgery to remove the coccyx (coccygectomy), it is somewhat variable what the surgeon does.
  • Sometimes the tailbone is partially removed, sometimes completely removed.
  • Surgeons differ in their opinions as to how important it is or isn’t to try to re-attach the pelvic floor tendons that were previously attached to the coccyx.
  • After surgery, most people do not have problems due to losing the natural attachments to the coccyx.
  • But perhaps 5% or less may develop a complication called pelvic floor prolapse, where the floor of the pelvis starts to sag downward, which can cause problems with bowel and bladder function.
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