Pelvic organ prolapse, commonly referred to as pelvic prolapse or vaginal prolapse, is common in women. Although most patients have no symptoms, it can be quite distressing.
Symptomatic patients frequently complain of:
Common causes of prolapse include:
Individuals who experience one or more of the following symptoms may be dealing with pelvic organ prolapse:
If you do not have symptoms, you may be able to continue without surgery. However, below are some common symptoms that may point to surgery being your ideal option.
Pelvic organ prolapse is a serious problem, and failure to address this issue may cause symptoms to worsen over time. By scheduling a consultation with Comprehensive Urology, you can meet with an expert urologist and take the first step to getting back on track.
Also known as anterior prolapse or prolapsed bladder. This condition occurs when the wall between a woman’s bladder and her vagina is weakened. This then results in the bladder dropping into the vagina. Due to the compromise, the bladder may bulge through the vaginal opening and cause women discomfort and problems emptying the bladder.
If symptoms are not too bothersome, we may advise you to avoid heavy lifting or straining activity. The reason is that these can cause a cystocele to worsen. If symptoms are noticeably bothersome, a vaginal pessary may hold the bladder in place.
For more advanced cystocele symptoms, surgery may be the best option. Using modern methods, we can move and keep the bladder in a better position. After surgery, patients normally stay in the hospital for several days. The full recovery period can last about four to six weeks.
We fully understand how embarrassing and troubling rectocele can feel. As such, we strongly believe in providing only the most advanced and effective care possible. We focus on preserving quality of life and sexual function just as much as we strive the achieve the best possible outcomes.
Also known as a posterior prolapse, a rectocele occurs when the rectum presses against the front wall of the vaginal canal. In severe cases, the tissue bulges into the vagina as a hernia.
Fortunately, most women who have developed this may not even notice the condition or suffer any uncomfortable symptoms. Unless a patient feels pain or discomfort, many women do not need to undergo treatment.
However, it is important to have the condition examined by an experienced urologist. An expert can determine the severity of the prolapse and whether treatment is recommended.
In most cases, women are unaware that they have developed a rectocele. They simply do not experience any symptoms. However, particularly in severe cases of posterior prolapse, the following symptoms may occur:
Rectal prolapse can be diagnosed through a pelvic exam. The strength of the vaginal and rectum walls may be evaluated with a digital exam. And the patient may be asked to provide a stool sample.
Each treatment entirely depends on the severity of the condition and the patient’s health and symptoms. Treatment may be as minimal as increasing water intake and eating a high-fiber diet. A rectocele does not necessarily need to be treated if the patient does not experience negative symptoms. The most common non-surgical treatments include:
When non-surgical treatments fail, surgery may be necessary.
The recovery process typically requires only pain management and anti-over-the-counter inflammatory medication. Following the procedure, most women can return home on the same day as the operation. However, abdominal procedures will require hospitalization of 2-3 days.
Vaginal vault prolapse is a common condition that affects women typically after a hysterectomy. After this procedure, the pelvic and vaginal tissues and muscles are weakened. This can cause the upper portion of the vagina to lose its normal structure. The upper portion of the vagina then drops into the vaginal canal or outside the vagina.
Vaginal vault prolapse can be treated non-surgically or surgically. It is best to consult with your medical health professional to understand all your options and decide which method is best for you.
During a surgical treatment for vault prolapse, the top portion of the vagina is attached to an anchor point. This could be the:
General anesthesia is administered for this type of procedure. Most women are required to stay in the hospital from one to two days after surgery. After six weeks, most women can return to normal activities, including sexual intercourse.
Vaginal vault prolapse can cause a variety of uncomfortable and even painful symptoms. The condition occurs when the muscles and ligaments that support the upper portion of the vagina are weakened. This causes the apex of the vagina to drop. It can potentially fall as far as the vaginal canal or even outside the body through the vaginal opening.
In most cases, this is so mild that women do not experience symptoms. However, mild to severe cases may need robotic surgery to repair and secure the vaginal vault. Our skilled urologists are proud to offer the most minimally-invasive surgical treatment using the state-of-the-art da Vinci Surgical System.
Robotic Sacrocolpopexy: This procedure involves surgically securing the vagina with mesh.
Robotic Uterosacral Ligament Suspension: Secures the vagina with the patient’s own ligament tissue, rather than a synthetic mesh.
The da Vinci robot offers the following benefits compared to traditional open surgery:
The da Vinci surgical robot offers surgeons a 3D view of the surgical site. At the same time, it allows greater freedom of instrumentation movement and improved surgical ergonomics.
Enterocele is a type of rectal prolapse. It occurs when the supporting tissue between the rectum and the uterus causes the small bowel to protrude through the rectum wall. The small bowel descends into the lower pelvic cavity. There it presses on the top part of the vaginal canal and creates a bulge. In mild cases, patients may not even be aware of the condition. However, more significant cases may include vaginal pain and discomfort.`
Numerous treatment options are available for small bowel prolapse. The ideal treatment takes into consideration factors such as:
The sooner you take care of pelvic prolapse, the better. Our team of expert urologists is here to provide your ideal treatment for an optimal outcome. Schedule your consultation today to get started on your personalized treatment plan at Comprehensive Urology.