Vaginal Organ Prolapse Repair Through Laparoscopic Surgery

Vaginal organ prolapse two times is when the muscles and ligaments supporting a woman's pelvic organs weaken and the pelvic organs fall out of place

. The organs inside the pelvis fall, swell or stick out of the vaginal wall. Vaginal organ prolapse is also referred to as pelvic organ prolapse. There are different kinds of vaginal organ prolapse. A diagnosis of vaginal organ prolapse starts with a physical exam. Your doctor will decide on the kind of prolapse and its seriousness.

There are several possible causes. These include childbirth, menopause, a hysterectomy or previous surgery, obesity, age and genetics.

Most women do not have well-defined symptoms however weakened muscles can cause an inflammation. Some symptoms to keep an eye are swelling, an enlargement in the vaginal area, an enlargement in the pelvic area, vaginal pain including sexual intercourse, back pain, lack of bladder control, and trouble with bowel movements, vaginal bleeding, spotting, or irritation.

There are several kinds of prolapse that add to the general condition of vaginal prolapse. Vaginal vault prolapse is when the top portion of the vagina crumbles and falls down into the vaginal canal. Bladder prolapse is when the bladder swells into the vaginal wall. Rectal prolapse is when the rectum swells into the vagina. Uterine prolapse is when the uterus falls into the vagina. Enterocele occurs when the intestine swells into the vagina. Urethrocele is when the urethra swells into the vagina.

There are several options for treatment, and the treatment will depend on the kind of prolapse you have. Your doctor may start with a non-surgical treatment first. Vaginal prolapse surgery is usually necessary at some point. One treatment is medication. Hormone replacement therapy may build up these muscles. Another option is pessary which is a mechanism that is placed into the vagina to support the prolapsed organs. Pelvic floor exercises and physical therapy are treatments that can be combined with other treatments or done individually. Lastly, vaginal prolapse surgery one time is another treatment option.

Once the type of prolapse is understood and therapy is not completely successful, the appropriate type of surgery will be requested for the known type of prolapse. With rectal prolapse, the surgeon will fix the tissue between the vagina and rectum. With bladder prolapse, the surgeon will fix the bladder and connective tissue between the bladder and vagina. With uterine prolapse, the surgeon may complete an hysterectomy. With vaginal vault prolapse and a swelling bowel, the surgeon may carry out surgery through the vagina or abdomen to attach the vagina to the tailbone which is located at the bottom of the spine. These surgical options may shrink the prolapse or correct the condition. These surgical procedures can be done vaginally or laparoscopically. Surgeons prefer laparoscopic repair because the laparoscope makes it easier to see and the surgeon is able to carry out the prolapse with more proficiency.

by: Jason Garvey

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