Pelvic organ prolapsed

Feature Summary

It would release following problems

  • A bulging, pressure or heavy sensation in the vagina that worsens by the end of the day or during bowel movements.
  • The feeling of “sitting on a ball”.
  • Needing to push stool out of the rectum by placing fingers into or around the vagina during a bowel movement.
  • Difficulty starting to urinate or a weak or spraying stream of urine.
  • Urinary frequency or the sensation that you are unable to empty the bladder well.
  • Lower back discomfort.
  • The need to lift up the bulging vagina or uterus to start urination.
  • Urinary leakage with intercourse.Though unusual, severe prolapse can block the flow of urine and cause recurrent urinary tract infections or even kidney damage.

 

Overview

Pelvic organ prolapse refers to the prolapse or drooping of any of the pelvic floor organs, including:bladder, uterus, vagina, small bowel or rectum. You may hear them referred to in these ways:

  • Cystocele: A prolapse of the bladder into the vagina, the most common condition
  • Urethrocele: A prolapse of the urethra (the tube that carries urine)
  • Uterine prolapsed
  • Vaginal vault prolapse: prolapse of the vagina
  • Enterocele: Small bowel prolapsed
  • Rectocele: Rectum prolapse

 

Features

There are two types of prolapse surgery: obliterative and reconstructive.

Obliterative surgery:Closes off part or all of the vagina. This may be an option if surgery hasn’t worked and you can’t tolerate another procedure. After this operation you will no longer be able to have sex.

Reconstructive surgery:Aims to repair the pelvic floor and return organs to their original position. There are a number of reconstructive surgeries:

  • Sacrospinous fixation and uterosacral ligament suspension.
  • Anterior and posterior colporrhaphy.
  • Sacrocolpopexy and sacrohysteropexy.
  • Vaginal mesh.

 

Procedure

Obliterative surgery:Closes off part or all of the vagina.

Reconstructive surgery:

  • Sacrospinous fixation and uterosacral ligament suspension:Your own tissue is used to fix or suspend the sagging pelvic organs. Your surgeon will make a cut in the vagina and use stitches to attach the vaginal vault to a ligament in the pelvis. The stitches may be permanent or dissolve over time.
  • Anterior and posterior colporrhaphy:The goal here is to make the tissue that holds the pelvic organs in place tighter and stronger. Anterior repair is used when the bladder drops and presses against the front of the vagina. Posterior repair is used when the rectum drops and pushes into the back of the vagina. This procedure is also done through the vagina by using your own tissues or vaginal mesh to repair the prolapse.
  • Sacrocolpopexy and sacrohysteropexy:These procedures use surgical mesh to fix and anchor organs that have dropped down. Sacrocolpopexy is used to repair prolapse of the vaginal vault. Sacrohysteropexy is used to fixed prolapse of the uterus. These operations are done with cuts in the abdomen. They can also be done laparoscopically or robatically.
  • Vaginal mesh:It repairs prolapse by putting mesh under the vaginal skin to help lift sagging organs into place.

 

Notification

Risks and Complications

  • Pain during sex
  • Pelvic pain
  • Trouble holding your pee (urinary incontinence)
  • Wound infection
  • Mesh erosion while use mesh for repair

 

Estimated Cost

The procedure cost is about 270,000-285,000 NTD, prices are subject to change without prior notice, need to pay in accordance with the actual medical expenses.