Procedure Description:

Gynecologic Reconstructive Surgery

In order to support the urethra and vagina, a piece of synthetic mesh or tissue is positioned beneath it during this surgery, forming a hammock or sling. The weakening vaginal tissue is supported by a scaffolding made of synthetic mesh. The mesh has tiny openings that allow the body's tissue to proliferate through it.

Disease Overview:

Pelvic Organ prolapse

One or more pelvic organs falling out of position is known as pelvic organ prolapse. This causes a prolapse, which is a protrusion in the vagina.

The pelvic organs are normally held in place by the muscles and connective tissues of the pelvic floor. The vagina, bladder, uterus, urethra, and rectum are examples of pelvic organs. Weakness of the pelvic floor muscles and tissues results in pelvic organ prolapse. Menopause, delivery, or pregnancy could be to blame for this.

There is treatment for pelvic organ prolapse. Nonsurgical treatment is often helpful. In certain cases, repositioning the pelvic organs may need surgery.

Disease Sign and Symptoms:

Pelvic organ prolapse can occasionally be asymptomatic. When symptoms appear, they may consist of:

1. Observing or sensing a tissue protrusion at or around the vaginal opening.

2. Pain, weight, or pressure in the pelvis.

3. Pain in the lower back.

4- Lack of ability to use a tampon.

5. Modifications in the urine. These could be increased urination, an overwhelming urge to urinate, difficulty completely emptying the bladder, or a feeble stream of pee.

6. Bowel modifications, such as the inability to completely empty the bowel or the need to insert fingers into the vagina to support the bulge in order to pass feces. We refer to this as splinting.

7. Sexual problems, like pain during intercourse.

Disease Causes:

Weakening of the muscles and tissues supporting the pelvic organs is the cause of pelvic organ prolapse. The most frequent reason is giving birth naturally.

Risk factors:

1. Multiple births, vaginal births, high birth weight kids, and tool-assisted deliveries.

2. Growing older.

3. Having a weight problem.

4. Having had surgery on the pelvis.

5. Exerting yourself due to persistent coughing, as that caused by chronic obstructive lung disease, persistent constipation, or persistent heavy lifting.

have a family history of connective tissue disorders or pelvic organ prolapse.

Disease Diagnosis:

A medical history and a pelvic organ examination are the first steps in the diagnosis of pelvic organ prolapse. This might assist the medical practitioner in determining the possible type of prolapse you may have.

Tests may also be required. Testing for prolapse of the pelvic organs may involve:

1. Tests of Pelvic Floor Strength. During a pelvic exam, a medical expert assesses the strength of the sphincter and pelvic floor muscles. This assesses the strength of the ligaments and muscles that support the bladder, urethra, rectum, uterus, and vaginal walls.

2. Tests for bladder function. Certain tests determine if the bladder leaks when the pelvic exam is being performed while it is held in place. How well the bladder empties could be measured by other tests.

Disease Treatment:

Your symptoms and how bothersome they are will determine how you are treated. Your doctor may advise against therapy or propose managing your pelvic organ prolapse without surgery if it bothers you. You may require surgery if symptoms worsen and start to interfere with your quality of life.

1. Physical therapy: To strengthen the muscles of the pelvic floor, your healthcare provider may recommend activities including biofeedback. Utilizing monitoring devices with sensors applied to the skin or inserted into the vagina and rectum is known as biofeedback.

2. Pessaries: Supporting prolapsed pelvic organs without surgery is possible with a pessary. These silicone gadgets are available in different sizes and shapes. To keep the pelvic organs in position, they are inserted into the vagina.

Surgery: You may benefit from surgery if your pelvic organ prolapse is bothering you. The purpose of the procedure is to reduce the vaginal bulge and alleviate a few symptoms.

The goal of the procedure is usually to realign the pelvic organs while also correcting the prolapse. We refer to this as reconstructive surgery. The location of the prolapse and if it affects many areas will determine the surgical strategy.

Prolapse surgery solely addresses the bulging tissue. There's no need for surgery if the bulge doesn't affect you. The weakening tissues are not repaired by surgery. Thus, the prolapse may recur.