The genital prolapse is a pathology that can affect every woman, although it is true that some have higher risk factors when suffering from obesity, early menopause or vaginal delivery, among other causes. The doctor. Minig, specialist in Gynecology , explains what are the symptoms that this pathology presents.
Genital prolapse is the descent of the uterus and / or the bladder or rectum through the vagina. In the vast majority of patients the degree of prolapse is mild and usually does not present symptoms. However, a smaller group of patients may present a worsening of the condition accompanied by a sensation of weight or vaginal pressure, loss of urine from exertion, urine infections, difficulty in defecation or sexual intercourse, or genital bleeding.
Causes of genital prolapse
The main cause demonstrated today of genital prolapse is pregnancy. In addition, women who have given birth through a vaginal delivery have an increased risk compared to cesarean section. The realization of Forceps, obesity, chronic cough, early menopause, or the intrinsic weakness of the muscles are other causes of prolapse of the pelvic organs.
Treatment of genital prolapse
Prolapse should only be treated when symptoms are present that bother the patient enough. The most important thing is to correct the modifiable causes that may have triggered it: weight loss, control of chronic cough, or quitting smoking. For those patients who do not present any of these symptoms or those in whom the aforementioned factors have already been modified, surgical treatment should be indicated.
The aim of the surgery is to correct the anatomical and structural defect that led to the development of the prolapse and place the organs descended back into place.. The surgery is usually developed vaginally and recovery is usually quick and without major complications. In selected cases it is necessary to place a synthetic material (mesh), in order to reinforce the defect with greater effectiveness.
It is important to mention that we must try to delay as much as possible the indication of the surgery since, in some cases, they tend to recur over time.. For this reason, in some cases, the placement of a pessary is indicated. This is a kind of silicone ring that is placed in the vagina and repositions the organs in place. Although it is not usually effective for a long time, it allows to avoid surgery to very old patients with surgical contraindication, or to delay surgery to very young women with prolapse.
Prevention of genital prolapse
Women with the aforementioned risk factors can perform Kegel exercises, which consist of repeated contractions and relaxations of the perineal muscles (pelvic floor) periodically during the day. In this sense, there are physiotherapists specialized in the training and rehabilitation of these muscles.