Abdominal-and-Vaginal-Surgery002-Womanaari-by-Dr.-Usha-Kiran (1)

Uterovaginal Prolapse

Understanding Uterovaginal Prolapse: Causes, Side Effects, and Treatment Choices

Uterovaginal prolapse is an issue that influences the pelvic floor muscles and ligaments that help the uterus, bladder, and rectum. These muscles might get extended and frail and can prompt the uterus descending or, regardless, standing out of the vagina. This condition is especially normal in ladies who have gone through menopause and have had at least one vaginal delivery.

Reasons for Uterovaginal Prolapse

The main cause of uterovaginal prolapse is the weakening of the pelvic floor muscles and tendons. A few reasons can add to this debilitating:

1.Childbirth: One of the most generally perceived causes is the strain placed on the pelvic floor during labor. The more vaginal conveyances a woman has, higher the possibility of having prolapse she has in future.
2.Maturing and Menopause: The release of hormone called “estrogen” decreases when women get menopause. That hormone helps keep the pelvic muscles strong. The decrease in estrogen levels prompts weakening of these muscles.
3. Heavy Lifting and Stressing: Routinely lifting weighty items or stressing during bowel can put pressure on the pelvic floor, adding to its debilitating after some time.
4. Obesity: Having excess weight can strain the pelvic floor, making prolapse almost certain.
5. Chronic Coughing: Conditions that cause constant coughing, like smoking or persistent lung infections, can likewise expand the risk of prolapse because of the continuous burden on the pelvic floor muscles.

Side Effects of Uterovaginal Prolapse

Numerous ladies with mild uterovaginal prolapse may not encounter any side effects. In any case, as the prolapse turns out to be more extreme, it can cause a scope of awkward and, once in a while, difficult side effects:

• A Sensation of Heaviness in the Pelvis: Numerous ladies depict having a feeling of weight or strain in the pelvic region, as though something is pulling down.
• Tissue Protruding from the Vagina: In additional serious cases, ladies might see tissue swelling out of the vaginal opening, which can be disturbing and awkward.
• Urinary Issues: Prolapse can prompt issues with pee, for example, trouble purging the bladder totally or encountering urinary incontinence (spilling pee).
• Gut Issues: A few ladies might experience difficulty with bowel movement, feeling like they need to push on the vagina to assist with passing stool.
• Distress During Sex: Sexual movement can become awkward or even difficult, and a few ladies feel like the vaginal tissue is free.
• Low Back Agony: The tension and strain from prolapse can likewise cause uneasiness in the lower back.

When to Look for Clinical Assistance

If the side effects of uterovaginal prolapse are causing distress or interrupting routine activities, looking for medical advice is important. A medical services supplier can evaluate the seriousness of the prolapse and examine the best treatment choices.

Treatments for Uterovaginal Prolapse

Here are some treatment choices that depend upon the seriousness of the condition and the lady’s overall health and lifestyle:

1. Lifestyle Changes and Activities: For mild prolapse, way of life changes like weight reduction, abstaining from difficult work, and overseeing ongoing coughing can assist with lessening side effects. Pelvic floor works out, known as Kegel works out, can likewise reinforce the pelvic muscles and further develop support for the uterus.
2. Pessaries: A pessary is a device that is inserted inside the vagina to support the uterus and other pelvic organs. It comes in different shapes and sizes and can be a good choice for ladies who need to stay away from a medical procedure.
3. Minimally Obtrusive Medical procedure: In cases where the prolapse is more serious and side effects are affecting the life of the woman, medical procedure might be vital. Insignificantly intrusive gynecologic medical procedures offer a few benefits over customary medical procedures. Ways like laparoscopy or robot-helped a medical procedure, consider quicker recovery, less torment, and smaller scars.
4. Vaginal Hysterectomy: Some might be recommended removal of the uterus (hysterectomy) because of the seriousness of the condition. This should be possible through a negligibly obtrusive methodology, diminishing recuperation time.
5. Colpoperineoraphy, Cystocele, and Rectocele Fix: These are explicit surgeries to fix prolapsed pelvic organs. Cystocele fix centres around the bladder, while rectocele fix tends to the rectum. Colpoperineoraphy includes fixing the vaginal and perineal tissues.
6. Pelvic Floor Reconstruction: In additional complicated cases, a blend of careful methods might be utilized to re-form the pelvic floor and re-establish backing to the prolapsed organs.

Advantages of Negligibly Obtrusive Medical Procedure

Minimally obtrusive medical procedure for uterovaginal prolapse offers a few advantages, including:

• Smaller Cuts and Less Scarring: The minuscule incisions utilized in negligibly obtrusive medical procedures bring about insignificant scarring, which is much of the time a worry for some patients.
• Less Torment: Smaller cuts and advanced careful strategies mean less postoperative agony and uneasiness.
• Speedier Recuperation: Patients ordinarily experience quicker recuperation times and can get back to their typical exercises all the more rapidly.
• Lower Chance of Confusion: Negligibly intrusive methods have a lower hazard of inconveniences like diseases or blood loss.

End

Uterovaginal prolapse is a common condition that influences numerous ladies. While the side effects can be awkward and now and again troubling, there are viable treatment choices accessible, going from way of life changes and activities to advanced insignificantly obtrusive medical procedures. On the off chance that you are encountering side effects of uterovaginal prolapse, it is critical to talk with a medical care supplier to examine the best option for your requirements.

endometriosis excision surgery, hysteroscopy and polyp removal, fibroid removal laparoscopic myomectomy, transobturator tape procedure recovery, uterine prolapse treatment, urinary incontinence surgery

Dr Usha Kiran Talakere FRCOG

Consultant Gynaecologist

Advanced Laparoscopic (Level 3/4) & Hysteroscopic Surgeon

vNOTES (Scarless Surgeon)