Pelvic organ prolapse occurs when organs sag or fall into the vaginal canal because of weak pelvic muscles. This may result in a noticeable bulge, lump, or dragging sensation in the vagina. Occasionally prolapse can distort the anatomy causing obstruction to the urinary tract. Approximately fifty percent of women who have experienced childbirth have varying degrees of pelvic organ prolapse. Some of these conditions can include:
Transvaginal mesh is a net-like implant used to treat pelvic organ prolapse and stress urinary incontinence in women. Transvaginal mesh serves as a support beneath the organs to hold them up after prolapse has occurred. During the procedure, a mesh implant is placed through vaginal incisions using specifically designed instruments. Traditionally, surgical mesh is placed into the pelvic cavity through an abdominal incision. Laparoscopic placement of mesh can also be done or from inserting the mesh through the vagina with specialized tools, avoiding abdominal incision entirely. The advantages of these procedures is that they are performed quickly, result in only an overnight hospital stay, and minimal pain.
Your treatment will depend on the severity of your symptoms. Reconstructive surgery reconstructs the pelvic floor with the goal of restoring the organs to their original position. Weakness of the pelvic floor often affects more than one area. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen or with laparoscopy. Depending on the location of your prolapse, there are different surgical strategies for various types of prolapse such as posterior prolapse, anterior prolapse, uterine prolapse and vaginal vault prolapse. There are many surgical procedures that can correct your problem. Dr. Kavaler can discuss various options with you to help you decide the best solution.
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