Prolapse Repair is a surgical procedure aimed at correcting pelvic organ prolapse. This condition occurs when the muscles and tissues supporting the pelvic organs (such as the bladder, uterus, or rectum) weaken, causing one or more of these organs to drop (prolapse) into the vaginal canal.
Types of Prolapse
- Cystocele (Bladder Prolapse): The bladder drops into the vagina.
- Rectocele (Rectal Prolapse): The rectum bulges into the vagina.
- Uterine Prolapse: The uterus descends into the vagina.
- Enterocele: The small intestine protrudes into the vaginal space.
- Vaginal Vault Prolapse: The top of the vagina loses support and drops, often occurring after a hysterectomy.
Indications
- Pelvic pressure or fullness
- Visible bulge in the vaginal canal
- Urinary incontinence or retention
- Difficulty with bowel movements
- Discomfort during intercourse
- Recurrent urinary tract infections
Procedure
Preparation:
- Preoperative assessments including physical examinations, imaging studies, and consultations at our hospital in Nagpur.
- General or regional anesthesia is administered.
Surgical Techniques
- Anterior Colporrhaphy: Repair of cystocele (bladder prolapse) through the vaginal approach. The weakened tissue between the bladder and vagina is tightened.
- Posterior Colporrhaphy: Repair of rectocele (rectal prolapse) through the vaginal approach. The weakened tissue between the rectum and vagina is strengthened.
- Uterosacral Ligament Suspension: Used for uterine prolapse, this technique involves suturing the uterosacral ligaments to provide better support for the uterus.
- Sacrocolpopexy: For vaginal vault prolapse, a mesh is used to attach the vagina to the sacrum, providing strong support.
- Pessary: A non-surgical option where a device is inserted into the vagina to support the prolapsed organs. This is often used as a temporary or alternative solution for those not opting for surgery.
Postoperative Care
- Hospital stay typically ranges from 1 to 3 days, depending on the type of procedure.
- Recovery period: 6 to 8 weeks.
- Pain management with medications.
- Instructions on activity restrictions to aid in healing.
Advantages
- Restoration of normal pelvic anatomy and function.
- Relief from symptoms like pelvic pressure, discomfort, and urinary issues.
- Improved quality of life and sexual function.
- Minimally invasive techniques lead to quicker recovery and less postoperative pain.
Disadvantages
- Risks associated with surgery such as infection, bleeding, and anesthesia complications.
- Possibility of prolapse recurrence.
- Potential complications with mesh repairs, such as erosion or infection.
Risks and Complications
- Infection
- Bleeding
- Injury to surrounding organs (bladder, intestines)
- Anesthesia-related complications
- Blood clots
- Mesh complications (if mesh is used)
Preoperative Preparation
- Detailed medical history and physical examination.
- Imaging studies such as ultrasound or MRI to assess the extent of prolapse.
- Blood tests to ensure overall health and readiness for surgery.
- Preoperative counseling to discuss the procedure, risks, benefits, and recovery process.
Postoperative Care and Recovery Tips
- Follow activity restrictions as advised by your doctor at our hospital in Nagpur.
- Avoid heavy lifting and strenuous activities for at least 6-8 weeks.
- Gradually return to normal activities as per your doctor’s advice.
- Pelvic floor exercises to strengthen supporting muscles.
- Maintain a healthy diet to promote healing.
- Stay hydrated and take prescribed medications.
- Attend follow-up appointments for monitoring.
At our hospital in Nagpur, prolapse repair offers the best surgical solution for correcting pelvic organ prolapse. The procedure provides numerous benefits, including relief from symptoms, improved pelvic function, and enhanced quality of life. Our hospital in Nagpur ensures the best care through the expertise of our skilled surgeons and advanced surgical facilities.
