Surgery Uterine Prolapse and Its Types

Uterine prolapse is the skidding or falling of the uterus into the vaginal canal from its normal position in the pelvic cavity. This slipping of the uterus takes place because of the weakened connective tissues and muscles.

This happens in women who have had many vaginal births, when the woman is deficient in estrogen hormone due to menopause and old age. People suffering from obesity and constant cough are more prone to this uterine prolapse. Another rare factor that causes uterine prolapse is pelvic tumor. Severe constipation and pushing aggravates the condition of this uterine prolapse.

The symptoms of the prolapsed are low backache, reoccurrence of bladder infections, painful intercourse, vaginal bleeding or discharge, uterus and cervix pop out through the vaginal opening, frequent urination, and heaviness in the pelvis.

The patient may feel as if she is sitting on a small ball.
Most of the symptoms aggravate when sitting or standing for a long period. A pelvic examination shows how far the uterus protrudes. Treatment is necessary only when the condition is severe. This uterine prolapsed is treated with vaginal pessary or surgery.

Vaginal pessary is a plastic or rubber device that when inserted inside the vagina holds the uterus in its place. Surgery is necessary depending on the condition of the prolapse, the age and general health of the woman. Surgery is also opted when the patient wants to retain the vaginal function and for future pregnancies.

Types of Prolapse Surgery

There are different types of surgery procedure depending on the type of prolapse.

Uterine prolapsed – A laparoscopic uterine suspension is done in combination with vaginal vault suspension. In this procedure, the tip of the vagina is attached to strong ligaments to the back of the pelvis, which gives support to the vagina. This surgery is less invasive, takes a very short time, and has quick recovery.

Vaginal prolapsed – In this surgery, the vaginal vault suspension, the vagina is attached to firm connective tissues to the back of the pelvis. This is also a short duration surgery procedure done with efficiency.

Cystocele – There are three types of cystocele and the treatment is modified according to the type. These are treated with laparoscopic surgery by an expert surgeon.

Rectocele – The colporrhaphy process done in the rear repairs and closes the tough tissue superimposing the rectum. A latest surgical procedure helps the patient to rectify the problem very easily.

Enterocele – Here the procedure closes the strong tissue on the top of the vaginal wall restoring its fibro muscular arrangement.

All the above procedures are done vaginally or in the laparoscopic method. Laparoscopic surgery gives a better picture of the problem aiding the surgeon to operate with ease. As the pelvis floor problem are many it is better to repair and rectify all the problems in one surgery.

Surgical repair of the uterine prolapsed usually needs a vaginal hysterectomy where the uterus along with some vaginal tissue is removed. Surgeons prefer vaginal procedure as it is less painful.

Laparoscopy procedure is opted due to its small incisions, less stay in the hospital, clear view of the problem assisted by the camera and quick recovery.

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