Treatment of Prolapse
We are very proud to offer the most advanced surgical techniques to treat all forms of prolapse (cystocele, rectocele and enterocele). We provide minimally invasive surgical options that are performed through the vagina and do not require an abdominal incision. Our outcomes offer superior success rates and low recurrence rates with minimal complications.
- Treatment for pelvic prolapse may be either medical or surgical. Medical or conservative options include the following:
- Pessary : A device inserted into the vagina to support the prolapsed organs. Fitting and insertion of pessaries are performed in the comfort of our office.
- Pelvic floor muscle exercises: May be done in conjunction with pessary use. The exercise strengthens the muscles in the pelvic floor, and may enhance the ability to retain the pessary in the vagina.
- Hormone replacement therapy: Improves the quality of the vaginal tissue.
These measures may relieve symptoms and reduce the prolapse. However, some women may not want or tolerate pessary use, and some prolapses are not sufficiently relieved by pessaries, exercise, or hormonal replacement therapy, in which case surgery may be the desired option.
Surgery of Prolapse
Surgical options involve reducing the prolapse and, in many cases, restoring normal anatomy. There are many types of procedures available, each addressing a specific prolapse or defect. Majority of patients will require a combination of the below surgeries.
Cystocele Repair . An incision is made inside the vagina. The bladder is replaced to its normal position. A synthetic mesh is placed under the bladder and secured to dense ligaments within the pelvis. Use of the mesh offers significantly lower failure and recurrence rates than with conventional cystocele repairs without the use of mesh.
Rectocele Repair . An incision is made inside the vagina (not visible to the eye). The rectum is replaced to its normal position in the pelvis and either a mesh is inserted or the pelvic floor muscles are reattached and tightened.
Enterocele Repair. The apex and top most portion of the vagina is repaired by making a vaginal incision, reducing the abdominal contents, inserting a synthetic mesh and attaching the mesh to a very dense ligament termed the sacrospinous ligament.
Hysterectomy. For most repairs a vaginal hysterectomy is required to provide long term results. This is usually done in combination with a cystocele repair and rectocele repair. This surgery is usually done in combination with a gynecologist.
If you are experiencing any of these signs of symptoms please call us for a consultation to further discuss treatment options. Women no longer have to live with this embarrassing condition since treatment is safe, effective and easily tolerated.