GENITAL PROLAPSED
Genital prolapsed is a situation where the pelvic organs such as bladder, rectum, uterus, urethra, and small bowel protrude into the vaginal wall. Numerous types of genital prolapses have been recognized and they include:
- Uterine prolapsed– Uterus prolapsed into the vagina
- Enterocele– Small bowel herniated into vagina
- Cystocele– Bladder protrudes into the vagina
- Rectocele– Rectum protrudes into the vagina
- Vaginal vault prolapse– Top portion of vagina herniates into vaginal canal
Uterine suspension – This process is done to correct uterine prolapsed using laparoscopic technique, where the uterus is pressed to its normal place. Incisions are made on the vaginal wall and the vagina is attached to a strong ligament at the back of pelvis or at the base of the spine to support the vagina. Uterine prolapsed can also be treated by a process called as hysterectomy where the uterus is detached.
Colporrhaphy – Colporrhaphy is the surgical process to accurate cystocele and rectocele. In this process, your surgeon makes an incision in the vaginal wall. The bladder and rectum are pushed back to their usual situation, the excess tissue is removed and the incisions are closed. If you are suffering from urinary incontinence then your surgeon may use a splint to support the urethra and this process is called as bladder neck suspension.
Surgery for enterocele – Enterocele may build up in women who have had a rectocele and/or hysterectomy. In women who have undergone hysterectomy, the supporting structures or the ligaments of the anterior and posterior vaginal walls may not be compound together into the uterus. This generates an area that lacks support which advance reasons the muscles and the ligaments to bulge out into the vagina.
Sacrohysteropexy – It is a different method to accurate uterine prolapsed. This process can be done through open surgery or laparoscopy. A synthetic mesh is used where one end of the mesh is attached to the cervix and top of the vagina and the other end is attached to the sacrum, at the base of the spine. The mesh gives support to the weakened vaginal wall.
Vaginal vault suspension – It is like to uterine suspension process. The top of the vagina is attached to a physically powerful ligament at the back of the pelvis or at the base of the spine to support the vagina.
Sacral colpopexy– In this process, one end of the mesh is attached to the top of the vagina and the other end is attached to the higher part of sacrum placed at the base of the spine. This mesh helps to fix the injure in the tissue
Plication– In this process, the weakened tissue is reattached to the other tissues
