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Uterus Prolapse
Discussion in 'All Categories' started by Nikitha - Jun 20th, 2024 12:25 pm.
I am suffering from uterus prolapse. I want to undergo surgery for this. What types of surgery are available for treating uterine prolapse? Which surgical option do you recommend for my specific condition and why?
re: Uterus Prolapse by Dr. B. S. Bhalla - Jun 20th, 2024 12:46 pm
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Uterine prolapse occurs when the uterus descends from its normal position into the vaginal canal due to weakened pelvic muscles and ligaments. There are several surgical options available for treating uterine prolapse, and the choice of surgery depends on various factors, including the severity of the prolapse, your overall health, your desire for future pregnancies, and your specific symptoms.

Here are the common surgical options for treating uterine prolapse:

Vaginal Hysterectomy: This involves the removal of the uterus through the vaginal canal. It is often recommended for severe prolapse and if you do not wish to have more children. This surgery can be combined with other procedures to support the vaginal walls.

Abdominal Hysterectomy: This procedure involves the removal of the uterus through an incision in the abdomen. It is another option for severe prolapse but is more invasive than a vaginal hysterectomy.

Laparoscopic Hysterectomy: This minimally invasive procedure involves removing the uterus using small incisions in the abdomen and a laparoscope (a thin, lighted tube with a camera). It offers a quicker recovery time compared to an abdominal hysterectomy.

Uterine Suspension (Sacrohysteropexy): This surgery involves lifting and securing the uterus in place using synthetic mesh or sutures attached to the sacrum (the lower part of the spine). It is suitable for women who wish to preserve their uterus.

Sacrocolpopexy: This procedure uses synthetic mesh to support the top of the vagina after a hysterectomy. The mesh is attached to the sacrum to hold the vaginal vault in its proper position.

Anterior and Posterior Colporrhaphy: These procedures repair the front (anterior) and back (posterior) walls of the vagina to provide support and correct prolapse. They can be done in conjunction with other prolapse surgeries.

LeFort Colpocleisis: This surgery involves partially closing the vaginal canal to support the prolapsed uterus. It is typically recommended for women who no longer wish to be se-xually active and do not want further pregnancies.

Vaginal Pessary: Although not a surgical option, a vaginal pessary is a device inserted into the vagina to support the uterus. It is a non-surgical treatment that can be considered before opting for surgery.

Recommendations for Your Condition:

Given your extensive health history and current medical conditions, a thorough evaluation by a gynecologist or urogynecologist is essential to determine the best surgical option for you. Here are some considerations:

Severity of Prolapse: The degree of prolapse will influence the choice of surgery. Severe cases may require more extensive procedures like hysterectomy or sacrocolpopexy.

Desire for Future Pregnancies: If you wish to preserve your fertility, uterine suspension procedures like sacrohysteropexy may be recommended.

Overall Health: Given your history of anemia, respiratory problems, and other health issues, minimally invasive procedures like laparoscopic hysterectomy or sacrohysteropexy might be preferred to reduce recovery time and surgical risks.

Symptoms and Lifestyle: If se-xual activity and preserving vaginal function are important to you, options like sacrocolpopexy or colporrhaphy might be considered over colpocleisis.

Concurrent Conditions: Any other pelvic floor disorders (e.g., rectocele, cystocele) should be addressed simultaneously, which may influence the choice of surgical procedure.

Next Steps:

Consultation with a Specialist: Schedule an appointment with a gynecologist or urogynecologist to discuss your symptoms, medical history, and treatment options in detail.

Preoperative Evaluation: Undergo a comprehensive evaluation to assess your overall health and suitability for surgery. This may include blood tests, imaging studies, and possibly urodynamic testing.

Discuss Surgical Options: Talk to your specialist about the benefits and risks of each surgical option, considering your specific health conditions and personal preferences.

Postoperative Care: Ensure you understand the postoperative care plan, including activity restrictions, follow-up visits, and any potential complications to watch for.
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