Pelvic Organ Prolapse Specialist

Total Urology Care of New York

Urologists, Urogynecologists & Surgery located in New York, NY

Dr. Elizabeth Kavaler, Urologist and Uro-gynecologist, offers surgical and non-surgical solutions for pelvic organ prolapse at Total Urology Care of NY.

Pelvic Organ Prolapse Q & A

What is prolapse?

Pelvic organ prolapse occurs when laxity of the ligaments and muscles that surround the vagina result in the neighboring organs falling into the vaginal canal. It presents with a feeling of pressure in the vagina, the presence of a ball of tissue coming through the vaginal opening, or the sensation that a tampon is stuck in the vagina. It can be alarming for a woman to experience pelvic organ prolapse, but it is not dangerous, and it is correctable with safe and effective treatments. Four organs can collapse into the vaginal canal. They include the bladder, the uterus, the rectum, and the small intestine. It is difficult, or nearly impossible, women to know which organ or organs have fallen. Treatment includes pelvic organ muscle exercises, (which can be performed with the guidance of a specialty trained physical therapist), the use of a pessary (a silicone disc that is inserted into the vagina and can be fitted in the office), or surgery. If you think that you have a pelvic organ prolapse, and you want to know your options for treatment, please come and visit us at TUC

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:

  • Vaginal Prolapse
  • Small Bowel Prolapse
  • Anterior Vaginal Prolapse
  • Posterior Vaginal Prolapse

How does reconstructive surgery treat pelvic organ prolapse?

The goal of pelvic reconstructive surgery is to restore the vaginal canal to its original state, and to support the neighboring organs so that they remain in their correct anatomic position. The surgery can be performed safely and effectively through the vagina, as an outpatient procedure.
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. 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 who is a urologist, uro-gynecologist, and reconstructive surgeon, can discuss all the various options with you to help you decide the best solution in her top-rated NYC office.

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