Operation for prolapse of uterus, operation for prolapse of the vagina enables you to fix an anatomical defect of the vagina, but does not relieve patients from the related unpleasant symptoms. Every fifth patient remains unsatisfied with the result!
The first attempts of treatment of uterine prolapse surgery, vaginal prolapse surgery, prolapse of uterus and bladder, dated 2000 BC, Hippocrates describes the techniques of reduction of the uterus, the uterus was right, if she was pink if she was a black woman was doomed, the first mention of an attempt to cut the "black womb" refers to the year 98 of our era — and SBRAS from Rome. The first successful surgery after which the patient survived , was made by the woman herself and described Willouby in 1670! Peasant Face Rawas suffered so much from the drop of the uterus, the uterus itself slashed off with a knife, and despite the bleeding survived, but the truth is life after that suffered from urinary incontinence.
Modern surgery uses a lot of different techniques that enable you to recover degraded organs in place and reduce the unpleasant symptoms that accompany uterine prolapse Surgery generally improve the quality of life in 80% of patients. Complications depend on the condition of the patient, the chosen technology, and the skill of the surgeon. In 90-95% of the operations for prolapse of the uterus and vagina cannot eliminate the anatomical defect, but nevertheless, every fifth patient remains dissatisfied with the outcome of the operation.
I will spare you the details of the operations for prolapse of the uterus. Technically it is a complex surgery! The main difficulty that is desirable in one sitting to solve all the problems related to pelvic organ prolapse! Otherwise, there is a need for a second surgery!
There are categories of patients with uterine prolapse surgery which is obviously undesirable.
So it is better to avoid surgery in patients for a long period of time on hormone therapy, not too good prognosis in patients with diabetes and in older patients.
The indication for surgical treatment of pelvic organ prolapse is defined individually!
When uterine prolapse surgery depends on:
Medical condition and age of the patient.
The severity of symptoms.
Take into account the wishes of the patient.
The doctor evaluates the patient to undergo surgery or not.
Evaluates the symptoms and the function of all the pelvic organs!!!
Determines the state of the mobility of the urethra
Finds out whether the symptoms of pelvic neuropathy.
And considers whether earlier surgery in the pelvis.
Surgery for prolapse of the uterus
Surgery for genital prolapse eliminate an anatomical defect of the vagina, but do not guarantee improvement of sexual function or relief from pelvic pain!!!!
The contraindications for surgery for prolapse of vagina /uterus are determined on the basis of severity of comorbidities. When small asymptomatic prolapse of the vaginal operation is best avoided!
So, 20% of patients remain dissatisfied with the outcome of the operation for prolapse of the uterus, what is fraught with a particular type of operation?
Front colporate often complicated by postoperative incontinence. Postoperative urinary incontinence after the front corporatii suffers almost a third of patients! Attention! Before surgery for prolapse or vaginal surgery for prolapse of the uterus should be performed tests that assess the function of bladder and, if necessary, simultaneously with corporatia corrects urinary incontinence.
Specific and a very frequent complication of the back corporatii — pain during sex, pain during sex experiencing each 2 patient, which was made back corporate!!!
A very unpleasant complication of surgery for prolapse of the vagina — colporate, which may cause serious depression of the patient is reduction of sexual sensitivity. Every tenth patient loses the ability to orgasm! Read the article — sex and orgasm after vaginoplasty!
The use of mesh implants in 13% of cases complicated by the development of inflammation in the pelvis, the formation of fistulas and ulcers of the vagina, narrowing of the vagina, thinning of the mucosa and the release of the mesh into the vagina through ulcerative defect and chronic pain! Also such operations for prolapse of the uterus or vagina are often accompanied by increased vaginal discharge, bleeding, incontinence! Sometimes grid must be removed!
Fixation of the uterus to the sacrum also has its own "trouble"- incontinence after surgery occurs in 12% of patients and pain during sex 10%, pain in the buttocks at 6%, cystocele develops in 8% of cases, fecal incontinence in 4% of women!!! Injury of the ureter, too frequent complication of the operation for prolapse of the uterus.
Prolapse of the vaginal operation. Conclusion:
There is an axiom Raed "Patient without symptoms can'T feel better from medication or surgery!!!" So if there is no symptoms in any case it is not necessary to resort to surgical correction of pelvic organ prolapse!
Kegel Exercises
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