Can the Bladder Protrude Again During Recovery Process
Women's bodies suffer so much in the normal course of life—pregnancy, childbirth, menopause, hysterectomy, aging. While the spirit may exist resilient, the tissue that holds the pelvic organs in place can have a difficult fourth dimension standing upwardly to the demands. Over time, these tissues stretch and become weak. When they do, the bladder, small bowel, rectum or uterus tin slip downward toward the vagina—a condition known as pelvic organ prolapse (POP).
Something's Not Right Down There
Discovering your organs are out of identify can be alarming! "Virtually women discover a bulge of tissue protruding from their vagina when they're showering or using the toilet," explains Tracy Cannon-Smith, M.D., a Urology Partners surgeon certified in female pelvic medicine and reconstructive surgery. "In some cases, a woman may have to push the bulge in vaginally to urinate or have a bowel movement. Other women say they experience similar they're sitting on a ball."
There are other signs, too. Vaginal pain, bleeding, spotting or feeling like y'all have pulled a groin muscle are all symptoms of POP. Experts approximate that most l percent of all women will struggle with pelvic organ prolapse at some betoken during their lifetime. "For a woman who is however sexually agile, prolapse tin be embarrassing and preclude intimacy with her partner," Dr. Cannon-Smith adds. "Fortunately, at that place are several ways to fix prolapse—vaginally and robotically."
Diagnosing the Trouble
Oftentimes, women who suffer from pelvic prolapse also have hidden incontinence problems they don't know well-nigh. "Float prolapse can mask leakage," Dr. Cannon-Smith explains. "Mostly, the more than the float drops, the more than it blocks urine from leaking."
Urodynamics testing identifies any leaking ahead of surgical repair. "We don't want to render a woman's bladder to its normal position but to find that she leaks urine every time she coughs or sneezes," she says.
During urodynamics testing, a catheter is used to fill the bladder. Video and still images are captured while the bladder is being filled and emptied—allowing the dr. to actually await at the sphincter muscles and leakage. Information technology allows me to make up one's mind which blazon of surgery is best for the patient," Dr. Cannon-Smith says.
Putting Everything Back Where It Belongs
Depending on the severity of the prolapse and the organs involved, prolapse is remedied using one of two surgical methods—vaginal prolapse repair or robotic prolapse repair.
Vaginal Prolapse Repair
This minimally invasive vaginal approach is more often than not used for less astringent cases of prolapse, including cystocele prolapse (bladder bulges into the vagina) and rectocele prolapse (rectum bulges into the vagina). Repair of the prolapse is fabricated through the vagina (as well known as a vaginal colporrhaphy with apical suspension).
"With the vaginal prolapse repair, I am able to lift the bladder to its natural position and secure it using either native tissue harvested from the patient or other biological materials," Dr. Cannon-Smith says. "If a woman waits until her prolapse is really severe, she eliminates this option because the repair may not concur if in that location is a high degree of prolapse."
Robotic Prolapse Repair
When in that location is a high degree of prolapse, a robot-assisted procedure known equally robotic sacrocolpopexy repair is ordinarily required.
"A adult female may have had a hysterectomy or be experiencing a prolapse of the vaginal vault—the back wall of the vagina. Everything is coming out. These patients practice best with a sacrocolpopexy," Dr. Cannon-Smith explains. "Nosotros also do robotic sacrocolpopexy on women who are undergoing a hysterectomy for uterine prolapse and demand their pelvic organs suspended. In that case, we work in cooperation with the patient's gynecologist to accept intendance of everything at once rather than two surgeries."
During the procedure, four to vi small incisions are made in the abdomen (like to laparoscopic surgery) to elevator the prolapsed organ and secure it with graph material. Studies show that five years subsequently surgery women who undergo a sacrocolpopexy enjoy a 95 to 98 percent success rate.
With both the vaginal and robotic procedures, women usually spend one night in the hospital.
Dr. Cannon-Smith recommends that women accept one to two weeks off work to recover if they accept a desk job, and abstain from sex and other strenuous activities for vi weeks. She also warns women to avert sure things post-obit prolapse repair.
"You don't desire to have chronic constipation where you're begetting down on your pelvic flooring with hard stools," she says. "Women besides need to be careful about lifting weights. We're not saying don't go on yourself in good shape, merely it's not a good idea to use heavy weights while doing exercises similar squats where your legs are broad autonomously and your pelvis is exposed."
Are you struggling with symptoms of pelvic organ prolapse?
Don't live with them. Let the experienced and caring specialists at Urology Partners assistance you enjoy life once more. Call 866-367-8768.
Source: https://www.upnt.com/prolapsed-organs.html