Dr. R.K. Mishra delivering lecture on female pelvic organ prolapse for October 2021 batch at CAMLS, University of South Florida, USA. Pelvic organ prolapse (POP) occurs when the tissue and muscles of the pelvic floor no longer support the pelvic organs resulting in the drop (prolapse) of the pelvic organs from their normal position. The pelvic organs include the vagina, cervix, uterus, bladder, urethra, and rectum.

Dr. R. K. Mishra, a renowned expert in minimally invasive and laparoscopic surgery, delivered a comprehensive lecture on Pelvic Organ Prolapse (POP) as part of the Fellowship of Minimal Access Surgery (F.MAS) program at the Center for Advanced Medical Learning and Simulation (CAMLS), University of South Florida, USA. This session — presented to the October 2021 batch of international surgeons and gynecologists — provided an in‑depth look into a condition that affects millions of women worldwide. 

Understanding Pelvic Organ Prolapse

Pelvic Organ Prolapse occurs when the muscles and connective tissues supporting the pelvic organs — including the bladder, uterus, vagina, and rectum — weaken. As a result, one or more of these organs descend from their normal position and may protrude into the vaginal canal. POP can significantly impact quality of life, causing symptoms such as pelvic pressure, urinary dysfunction, and discomfort during activity. 
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Dr. Mishra began his lecture by clearly defining POP and explaining its anatomical basis. He highlighted how childbirth, aging, hormonal changes during menopause, and heavy physical exertion contribute to weakening of the pelvic floor. His explanation integrated both clinical experience and current anatomical understanding, making the topic accessible to trainees and practicing clinicians alike. 

Surgical and Non‑Surgical Perspectives

A significant portion of the lecture focused on both conservative and surgical approaches to managing POP. Dr. Mishra emphasized the importance of individualized care — discussing when pelvic floor physiotherapy, pessary devices, or lifestyle modifications may be appropriate, as well as when surgical intervention becomes necessary. 

For surgical management, he provided an overview of laparoscopic techniques used to restore normal anatomy and function. These minimally invasive approaches offer benefits such as reduced postoperative pain and quicker recovery compared to traditional open surgery. Dr. Mishra’s description included steps of laparoscopic repair and key intraoperative considerations, reinforcing safety and efficacy. 

Educational Impact and Global Reach

The lecture was not only informative but also highly engaging — resulting in positive feedback from participants around the world. Many attendees praised Dr. Mishra for the clarity of his teaching and practical insights, noting how his explanations simplified complex surgical concepts. 

This session underscored Dr. Mishra’s role as a global educator in laparoscopic surgery. By sharing his expertise on Pelvic Organ Prolapse with an international audience in Florida, he helped bridge gaps in understanding and enhanced the surgical proficiency of many gynecologists and surgeons.