This condition refers to the sagging or bulging of one or more organs in the pelvis. This includes the uterus, bladder, rectum, small intestines and the vagina. The underlying cause is neuromuscular, meaning injury to nerves, ligaments, and muscles with subsequent weakening of the pelvic support for these organs. Pelvic prolapse is much like hernias that can occur in other parts of the body. The following conditions may occur alone or together. The degree (or stage of prolapse) may vary from a small drop to a complete exposure outside the vagina. It is important to understand that the bladder and intestines are never actually exposed to the outside. They are pushing on the vaginal walls and it is the vaginal walls which can be visible.
Additionally, surgery for prolapse may include one of the following:
In addition, many times a sling is also needed to prevent urinary incontinence, as demonstrated in the following video filmed at Brigham and Women’s Hospital: Minimally Invasive Mid-Urethral Sling Procedure. All these vaginal surgeries can be done using native tissue or less commonly with mesh.
C. Correction of uterine prolapse
You have the following options available with correction of the uterine prolapse:
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