What’s Involved in Addressing Pelvic Prolapse?
When the bladder, uterus, and/or bowel musculature has lost tone to the point that one or more is much lower than usual, we call this “pelvic prolapse.” For example, it is possible for the bladder to “fall” into the vaginal vault. Because the bladder leans on the vaginal vault for support, if the vaginal walls lack strength, there simply may not be enough strength in the vagina to hold everything in place. As a result, a woman may feel a protrusion or narrowing of the vaginal vault. Likewise, the small bowel may “fall” in the same way, also creating a “prolapse.” Pelvic reconstructive surgery can restore the genitourinary structures to their “normal” positions.
When the uterus and/or vagina “falls,” you may be surprised to find the cervix at the opening of the vagina or even lower. If this occurs, you should contact us for an appointment to discuss the options of restoring the anatomy and allowing you to carry on a full and satisfying life.
Please do not let embarrassment cause you to not contact us. Believe it or not, prolapse in women is quite common.
Symptoms of a prolapse could include loss of urine or fecal matter; or, on the other extreme, you might experience difficulty in urinating, beginning the flow or the stream may be slow, or you could be experiencing difficulty with bowel movements. Other symptoms of prolapse include pain during intercourse, general low back pain, low back pain when standing, and a feeling of “vaginal fullness” or pressure.
Through surgical intervention, reconstruction to restore your anatomy can allow you to return to a normal lifestyle. Reconstruction is just as it sounds. Through surgery, we will provide your anatomy with new supports that will hold the bladder, uterus, cervix and vagina, as well as the bowel, all in place.
If you are experiencing symptoms of pelvic prolapse, speak with your doctor. Don’t allow the symptoms to control your life. We will treat your concern with utmost discretion.
Raj K. Syal, MD, FACOG