What is pelvic organ prolapse?
A prolapse is the extrusion of the reproductive organ through the vagina. Depending on the level of extrusion there are grades ranging from Grade 1 to Grade 4.rad
Why does prolapse occur?
The weakening of the muscles of the pelvic floor and the ligaments holding the uterus in place causes prolapse. Women who had a difficult or instrumental delivery (Coupled with genetic factors) are more susceptible to developing a prolapse.
What are the symptoms of pelvic organ prolapse?
Patients feel “something coming out” of the vagina, which is discomforting especially when standing. Other bowel and bladder dysfunctions like urinary incontinence and difficulty in evacuating the bowel can be associated with prolapse.
Sometimes due to the cervix coming out of the body it might undergo erosion and start bleeding.
What are management options?
If the prolapse is within grade 2 (i.e. uterus descent is present, but still inside the vagina) then Radiofrequency energy can be used to strengthen the pelvic floor muscles.The results may vary from individual to individual.
Silicone plugs can be used to retain the uterus within the vaginal canal for patients who are resistant to Radiofrequency treatment.
Is there a definitive cure for prolapse?
The surgical approach depends on the age and parity of the patient.
Younger women can undergo a sacro-hysteropexy. In this procedure, a mesh is attached to the cervical and anchored to the sacral promontory (see picture below). This process requires sufficient skill and suturing expertise. Indigo Womens Centre is one of the few hospitals around Chennai performing this procedure.
Vaginal hysterectomy is the choice treatment for women who have completed their family life and are not looking to conceive. During this procedure, any bladder and rectal defect are also corrected in the same sitting.
Why choose Indigo Womens Center for your procedure?
Choosing the right specialist for treatment for Pelvic organ prolapse is crucial because most gynaecologists only offer the options available to them. Our centre being equipped with all the latest technologies we can offer patients with a wide range of treatment options ranging from Radiofrequency energy to surgical management.