Pelvic plastic surgery is a surgical procedure to lift or support prolapsed pelvic organs (uterus, bladder and urethra). It’s usually done under general anesthesia so you’re asleep during the operation. You’ll need a few weeks of rest, with limited activities.골반성형병원
Prolapse of one or more of your pelvic organs occurs when muscles and ligaments in what’s called your pelvic floor weaken. This can lead to uncomfortable pressure, urine leakage and vaginal discharge, pain during sexual intercourse, bladder infections and other issues. It’s common, especially as you age and often after childbirth.
There are several different surgical treatments for prolapse. Some are minimally invasive. Others involve repairing the muscle wall in your abdomen. At SLUCare Female Pelvic Medicine and Reconstructive Surgery, we offer both open and minimally invasive procedures and will discuss what type of surgery is best for you.
The most common way to treat prolapse is with a reconstructive procedure that involves your urogynecologist performing surgery through the vagina. This type of surgery can repair anterior, apical and posterior prolapses. It can also restore normal support at all three levels of the endopelvic fascia. This can also help with pelvic floor muscle rehabilitation and normal visceral and sexual function.
During reconstructive surgery, your urogynecologist may use a material called mesh to reinforce the tissue. The mesh has to be safe, biologically compatible and mechanically strong with the ability to conform to body tissue to ensure proper fit. It should also be chemically and physically inert, non-carcinogenic and non-inflammatory. The ideal implant should have the potential to provide long-term anatomic and functional results with minimal erosion into the viscera.
Another surgery that’s done through the vagina is colporrhaphy, a surgical reconstruction of the area between your vagina and the rectum. This involves identifying weak or frayed edges of the deep tissue that makes up the perineum and suturing together the strong edges to create a strong “wall” between the vagina and rectum. The stoma can then be closed with dissolving stitches.
Anterior and apical prolapses can sometimes be treated with a nonsurgical option, known as a pessary. Pessaries are silicone devices that can be placed in your vagina to nudge a prolapsed organ back into the pelvic area and provide support. This can reduce your symptoms but won’t fix the underlying problem.
In some cases, your urogynecologist might recommend an obliterative surgery that closes part or all of the vagina. This can be a last resort option when nothing else helps. It’s not recommended for women who want to have children in the future, and it can cause you to go through menopause much earlier.
When all other options have been explored, a hysterectomy to remove your uterus is an option for some women with advanced prolapse. This is a serious decision, and you should consider it only if you’re sure that you don’t want to have more children or you can’t manage your symptoms with other treatment. Your urogynecologist can give you more information about this option, including the possible risks and benefits of having it.닥터케빈의원