One of the most popular surgical procedures in gynecology is the restructuring of pelvic floor. This demand is due to its deterioration is a common problem, especially in women who have gone through childbirth, and often causes problems in daily life.
Pelvic floor surgery is proposed as a solution for women who have a dysfunction of your pelvic floor due to prolapse of pelvic organs such as the bladder prolapse , uterine prolapse or cystocele and rectal prolapse or rectocele. It is also carried out in cases of urinary dysfunction and urinary incontinence.
Deterioration diagnosis of pelvic floor
The complaint of Gynecology in relation to the pelvic floor is usually: sexual dysfunction, feeling of weight or bulk genital and urinary incontinence. From these symptoms it comes to diagnosis, which is performed by scanning, such as genital and pelvic floor ultrasound and symptom questionnaires conducted with the gynecologist to determine the type of incontinence. Any of this procedure is crucial, since only the urinary incontinence is amenable to surgical treatment, not urge incontinence, which should be treated medically.
What surgery is the most appropriate?
At the time of deciding the type of surgery performed, you should consider several factors such as patient age, employment status, sexual habits and preferences as the desire to be a mother. In addition to other medical aspects such as the type of prolapse, previous surgery, obesity or surgical risk factors, among others.
In relation to the above criteria, the types of intervention may be different:
Urinary incontinence surgery is advocated vaginally with tension free suburethral bands of prosthetic material. In mild or moderate cases it can be solved by conservative treatment, improving habits such as weight loss, bladder retraining and through pelvic floor exercises autonomous, aided or directed as Kegel exercises.
As for prolapse surgery is currently the trend, if it opts for the vaginally, try first classical anatomic repair with own tissue, with the possible removal of the uterus in relation to the type of prolapse. Depending on the case, patient preferences, risk factors or individual situation, you can opt for the laparoscopic approach of colposacropexy. This consists of fixing the vaginal vault sacrum by a mesh, so that the position is reset and vaginal sexual recovers functionality.
In cases of women who have or have had recurrences after previous surgery, vaginal reconstruction with prosthetic polypropylene mesh material it is also a valid option that offers good results.