Pelvic Prolapse Treatment
What is Pelvic Organ Prolapse?
Women often complain of “bulging from the vagina” or “my cervix is coming out of my vagina.” This is called pelvic organ prolapse, and occurs when pelvic floor muscles are weak or damaged and can no longer support the pelvic organs. When these organs (e.g., bladder or bowel) slip out of place, they push up against the vaginal walls. Often women will complain of difficulty with emptying stool from the rectum and having to push stool out by pressing on the back of the vagina.
Also, many women will complain of loss of bladder control. Prolapse is a result of genetics, vaginal deliveries, years of heavy lifting and environmental factors such as smoking. You cannot repair this problem without surgery or devices that remain in the vagina to prevent droppage (i.e. Pessaries).
How is Pelvic Organ Prolapse Treated?
There are many surgeries to correct this problem depending on your problems. If you have a uterus, this will need to be removed to repair the prolapse.
The most effective surgery for prolapse at this time is sacrocolpopexy. This surgery has the best long term results with good vaginal elevation 5-10 years after surgery and longer. No other method has been proven to be a more effective surgical treatment at this time.
Sacrocolpopexy is a surgery that uses artificial mesh called Prolene to reconstruct the vagina. This tissue is very soft but also very strong. I use this tissue along the front and back of the vagina to repair your own damaged tissues and then connect it to your backbone or sacrum. This will elevate the vagina and orient the vagina in its normal position.