What is pelvic organ prolapse? How is it treated? Here are all the curiosities about pelvic organ prolapse, a common problem seen in women!
What is pelvic organ prolapse? Why does it happen? What problems does it cause? All the curious about this health problem, which is seen in almost all women over a certain age, Prof. Dr. We learned from Tufan Tarcan. Here are the answers to the curious questions!
In pelvic organ sagging, more or less sagging is seen in all pelvic organs due to the weakness of the pelvic floor muscles and ligaments, not a single organ. For this reason, it is wrong to call organ prolapse only as uterine prolapse or bladder prolapse. There are different classification methods of pelvic organ prolapse. To put it simply, no intervention is required for mild sagging. In moderate sagging, the treatment is decided according to the patient’s complaint, while in severe sagging, the organs come out of the vagina by straining or resting. These sagging require treatment.
What causes pelvic organ prolapse?
Among the main known risk factors of pelvic organ prolapse are; diseases such as overweight, pregnancy, normal birth, chronic constipation, coughing-causing COPD (Chronic Obstructive Pulmonary Disease) and genetic predisposition.
Urinary incontinence cannot be corrected with pelvic organ prolapse surgery.
Pelvic organ prolapse can sometimes be seen together with urinary incontinence. However, contrary to popular belief, urinary incontinence cannot be cured by correcting pelvic organ prolapse. When pelvic organ prolapse is seen together with urinary incontinence, both problems should be evaluated and treated separately. For example, the treatment of both pelvic organ prolapse and urinary incontinence problem should be planned together for a person with stress urinary incontinence and organ prolapse. This often means simultaneous surgical treatment in the same session. Otherwise, organ prolapse surgeries will not solve the problem of urinary incontinence and will even increase the severity of urinary incontinence. Hygienic bladder pad should be used to prevent hygienic problems until the root treatment process is planned.
What are the problems caused by pelvic organ prolapse?
People with pelvic organ prolapse most often have difficulty urinating or defecating. Incomplete emptying of the bladder can lead to urinary tract infections, and even bending of the ureters can lead to enlargement of the kidneys and kidney failure if not treated. One of the most common complaints in people with advanced pelvic organ prolapse is the development of skin infections and even ulcers as a result of the rubbing of the organ protruding from the vagina against the underwear. . In these skin infections, there may be discharge or bleeding and very disturbing conditions may occur in terms of hygiene. People who experience pelvic organ sagging have a decrease in the quality of sexual function. Generally, people with pelvic organ prolapse may feel pain or discomfort during sexual intercourse; also the vagina is enlarged due to sagging; This situation negatively affects the pleasure received from sexual intercourse.
Surgery is not the only solution for pelvic organ prolapse
The treatment of pelvic organ prolapse varies according to the location of the prolapse and the degree of prolapse. Surgery is not the only treatment for pelvic organ prolapse. Some prostheses applied inside the vagina can also be preferred in the treatment of pelvic organ prolapse. The patient’s expectations are very important in the treatment of pelvic organ prolapse. Different methods are preferred in the treatment of people who have an active sexual life, and different methods are preferred in the treatment of people whose sexual life is not active. There is a misconception that surgical treatment in pelvic organ prolapse is removal of the uterus; However, the reason for uterine sagging is not the presence of the uterus, but the loosening of the ligaments holding the uterus. Removal of the uterus is not recommended unless there is an oncological risk. Because the risk of urinary incontinence or surgical complications increases with removal of the uterus due to pelvic organ prolapse. Pelvic organ prolapse surgeries can be divided into vaginal and abdominal. Abdominal surgeries; It can be done open, robotically or laparoscopically. Vaginal surgeries are performed completely inside the vagina.