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Uterine Prolapse and Related Issues - Hysterectomy the Answer?
Date : 03-03-2005 - 08:09 PM - Readers : 9371
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 What is a Uterine Prolapse? How about Rectocele? Or Cystocele? What treatment options are there?

Muscular weaknesses in the pelvic area can result in protrusion or herniation (falling) of the uterus, vagina, bladder and/or rectum. Childbirth and aging can lead to a weakening of these muscles that provide pelvic support.
  • Rectocele - fallen rectum
  • Cystocele - fallen bladder
  • Enterocele - fallen small intestine
  • Uterine Prolapse - fallen uterus
  • Vaginal Prolapse - fallen uppermost portion of the vagina
Non-Surgical Treatment Options for Prolapses
  • Hormone therapy (post menopausal women)
  • Kegel exercises
  • Pessary (A mechanical means of muscle support to prevent the tissues of the vagina from spilling out. There are various sizes, types, and shapes of pessaries. The pessary is tailored to fit the individual woman.
Surgical Treatment Options for Prolapses
  • Anterior colporrhaphy - surgical correction of cystocele
  • Retropubic urethropexy - elevation of the angle between the urethra and bladder
  • Sling procedure to provide support for the urethra to increase the resistance to urinary flow
  • Posterior colporrhaphy or perineorrhaphy - correction of rectocele
  • Sacrospinous ligament colpopexy - correction of vaginal wall prolapse
  • Enterocele repair - reinforcement of the vaginal supporting structures to prevent herniation of the small intestine.
  • Hysterectomy
These repairs can be done with or without a hysterectomy.
 
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