Uterine Prolapse and Uterine Suspension Surgery as a treatment option
Uterine prolapse is a condition where the uterus falls from its normal position in the pelvis into the vaginal canal, sometimes protruding outside the vagina. It is usually caused by weakened pelvic floor muscles and ligaments, which can be due to multiple factors such as childbirth, ageing, obesity, chronic constipation, or a history of pelvic surgeries.
Symptoms of uterine prolapse can vary, but may include:
- A feeling of pressure or heaviness in the pelvis
- Pain or discomfort during sexual intercourse
- Difficulty urinating or having a bowel movement
- Vaginal bleeding or discharge
- A visible bulge or lump in the vaginal area
Treatment options for uterine prolapse depend on the severity of the condition, the woman’s overall health, and her desire to have children in the future.
Non-surgical treatment options for uterine prolapse may include:
- Pelvic floor exercises: To strengthen the muscles and ligaments that support the uterus and vaginal canal
- Pessaries: A medical device inserted into the vagina to provide support to the uterus
- Oestrogen replacement therapy: This may help to strengthen vaginal tissues, reducing prolapse symptoms.
Surgical options for uterine prolapse may include:
- Uterine suspension: Surgery to restore the uterus to its proper position within the pelvis and hold it in place.
- Hysterectomy: Surgery to remove the uterus if the woman is past childbearing age or if she does not wish to have children.
- Obliterative procedures: Procedures that narrow or close the vaginal canal, reducing prolapse symptoms, but will make vaginal delivery impossible in the future.
The choice of treatment depends on several factors, and it is important to consult with a healthcare professional such as a Gynaecologist or Urogynaecologist to determine the best option for each individual woman.
Uterine suspension as a treatment option for uterine prolapse
Uterine suspension is a surgical procedure that is performed to correct uterine prolapse. Uterine suspension aims to restore the uterus to its proper position within the pelvis.
The procedure may be recommended for women who have uterine prolapse symptoms that are severe enough to impact their quality of life, such as vaginal bulging, difficulty with sexual intercourse, or difficulty with urination or bowel movements. It may also be suggested if less invasive treatment options have been exhausted without any improvement.
There are several types of uterine suspension surgeries, including sacrospinous ligament suspension, uterosacral ligament suspension, and sacro-hysteropexy. These surgeries differ in the approach, the type of incision made, and the type of support used to hold the uterus in place.
How can uterine suspension help women?
Uterine suspension can have the following benefits:
- Reducing symptoms of uterine prolapse, such as vaginal bulging, discomfort, and difficulty with sexual intercourse.
- Restoring the uterus to its proper position, which may improve urinary and bowel function.
- Preventing the condition from worsening and reducing the risk of complications associated with uterine prolapse.
The success of uterine suspension surgery depends on several factors, including the severity of the prolapse, the patient’s overall health, and the surgeon’s experience and expertise. It is important to discuss the risks and benefits of the procedure with a qualified healthcare professional before making a decision and seek advice from a highly experienced practitioner.
If you are experiencing any symptoms discussed above and would like to seek advice from a specialist, we offer appointments with a specialist Gynaecologist and Uro-gynaecologist Mr Philip Rahmanou in Cheltenham and Gloucester. Call us on 07805 354110 or email info@practiceforwomen.co.uk
