Pelvic organ prolapse is a common condition in women.
This resulted in poverty and Dysfunction.
It can be treated.
What is pelvic organ prolapse?
Pelvic organ prolapse is common in women. Birth of a lot of women, the older she gets, the less elastic is a support system in her pelvis. Vagina, uterus, bladder and rectum are held in place by attachment to the side walls of the pelvis. This appendix consists fascia (thickening of tissue) and muscles. Each disease results in weakness and support systems descent (prolapse) of the pelvic organs in it. It may prolapse (herniation) of the bladder into the vagina, the rectum to the vagina or uterus drops into the vagina towards the entrance of the vagina. Other factors that exacerbate the prolapse is genetic, race, smoking, obesity, chronic constipation and other lifestyle resulting in increasing pressure on the pelvic floor.
After menopause, the normal support network and thereby becomes clearly lost the support of estrogen depletion and exacerbation of tissue taken from the impairment. In line with the organ prolapse, urinary incontinence often occurs.
Pregnancy itself is not only the result of damage to the structure but also to support the local supply of roots. Depending on the type of delivery, amount of trauma that occurs during the delivery process, so it will result in significant damage to prolapse later. Birth trauma may also be neurological intravenous supply of the region.
How is it diagnosed?
Patients were either coming or with symptoms of fatigue fury in the vagina, feeling the bulge in the vagina or problems emptying the bladder or bowel. There is also a visible mass can see the entrance to the vagina. Medical officers (who urogynaecologist or pelvic floor specialist) who saw the patient is required to conduct an assessment to rule the factors that exacerbate the prolapse, to assess co-morbidities and to decide what the appropriate management.
How is it treated?
If conservative management, it will include physiotherapy (with special pelvic floor physiotherapist), inserting vaginal cones, corresponding sanitary or inserting a ring pessary to provide support in areas falling vagina.
Surgical options depend on which aspect of the prolapse occurs. This can lead to surgery to correct the affected area. Prolapse place similar to rupture the anterior vaginal wall (bladder) or posterior vaginal wall (rectum) or by central upper vagina (uterus or vagina). Hernia sac should be opened. If the anterior vaginal wall (cystocoele) need to be improved, it can be done with the patient’s own tissue or there may be support system of artificial nets along.
The same is true for the posterior compartment (rectocoele), rectum can bulge into the vagina. Again bag opened, that defects will be identified and repaired using either the patient’s own tissue or an artificial support system nets. If uterine prolapse, it may require a hysterectomy but it is not always necessary, and operations to support the uterus can be done through the vagina or through the abdominal procedure.
Since the advent of the new system of support, the rate of recurrence after surgery is very low. Dating with improved recurrence rate of about 40% for 5-10 years. Today is about 5-8%.
Often there are multicompartment defects and often different areas of prolapse should be fixed at the time of primary surgery.
Running parallel what-rectal Dysfunction. It needs to be assessed and managed appropriately during surgery.