Prolapse is when several pelvic organs or one drop down into the vagina. The vaginal walls become displaced, leading to a prolapse if the pelvic floor muscles are weakened.
Any of the pelvic organs, including urethra, bladder, rectum, bowel and the uterus, can
Prolapse prolapse of the uterus, although into the vagina is the most common. Determined by the severity, the cervix may drop and really protrude from the vagina. Prolapse has a tendency to happen in elderly girls, and scarcely ever happens in those who haven’t had kids.
Pelvic floor muscles can weaken with age, but earlier harm to the pelvic floor muscles almost always causes prolapse during labour. This occurs you were permitted to go on too long in labour or if your infants were on the big side, particularly if you’d a quick delivery.
To comprehend what your doctor is talking about these names can be helpful.
■ If the rectum bulges into the rear of the vaginal wall, it’s called a rectocoele.
■ When the urethra bulges into the front of the vaginal wall, it’s called an urethrocoele.
■ If the bladder drops into the front of the vaginal wall, it’s called a cystocoele.
A mobile retroverted uterus is a benign variant of standard in which the uterus is tipped back. It’s frequently blamed for failure to conceive but in no way implicated.
What Are The Symptoms?
■ A feeling of something bulging from the vagina; trouble adding and removing a tampon.
■ Stress incontinence — leaking urine when you lift a heavy weight, cough or sneeze.
■ With uterine prolapse, a dragging down feeling in the pelvis.
■ With an urethrocoele or a cystocoele, frequent urination and an urgent need to pass urine.
■ With a rectocoele, suffering on moving the bowels and trouble in passing a stool.
Do not wait for symptoms to become extremely annoying; consult with your physician as soon as possible.
What Might The Doctor Do?
■ Your physician will give you an internal pelvic examination to verify a prolapse and to discover which kind you’ve got.
■ You’ll be asked about the arrivals you’ve had, whether they were hard, if your infants were bigger than standard, if the second phase of labour continued a number of years and if forceps were used to assist delivery of any of your infants.
■ Being overweight makes a prolapse worse, so you’ll be informed to drop some weight.
■ If you’ve got a serious prolapse, your physician will recommend operation (see box, right).
I’d always advise going ahead because it is going to enhance your quality of life by commanding incontinence and enhancing your sexual enjoyment. Operation functions by tightening up all the support structures in your pelvis – a type of pelvic facelift. Treatment will be contingent on the kind of your age and prolapse.
■ Most prolapse repairs are performed through the vagina and include a general anaesthetic. Sometimes, the surgery may be performed with an epidural anaesthetic, particularly when the patient is old and infirm.
■ you’ll likely remain in hospital for 5-7 days. After which sexual intercourse can be restarted if there are not any issues, an outpatient appointment is normally made six weeks afterwards.
■ If you have problems with backache, stay away from standing for long periods at a time. Wear a tight girdle to counteract any trailing feeling you may have in your pelvis.
■ If you’re having trouble with sexual intercourse, you and your partner may have to investigate alternate non-penetrative methods of reaching sexual pleasure.
■ Wear panty liners if you’re troubled by leakage (stress incontinence). If the leakage becomes worse, see your physician.
■ The most significant preventative treatment is being diligent about doing pelvic floor exercises frequently during pregnancy and Particularly after the arrival of your baby, whether you’ve stitches.
■ You should continue pelvic floor exercises until the day you perish, each day going through them on five or six different occasions.
■ If you quit your pelvic floor exercises for several weeks, do start again.
■ Light incontinence can be restrained with pelvic floor exercises alone done five times a day for a few weeks.
Operation for Prolapse
To correct prolapse, an operation is performed under general anaesthesia to shorten the supporting ligaments and muscles of the nuterus. The operation can generally be performed through the vagina. After the surgery patient typically stay in hospital for 5-7 days.