Pelvic Prolapse- A New Perspective


In human anatomy, the pelvis, located in the lower torso, is a sturdy ring of bones which protects the delicate organs of the abdominopelvic cavity while supporting the powerful muscles of the hip, thigh and abdomen. Several bones unite to form the pelvis, including the tail and hip bones.


Pelvic prolapse is a medical condition in which the muscles and ligaments supporting your pelvic organs weaken, as a result of which the organs such as uterus, cervix, vagina, bladder and urethra get misplaced from their actual position. Damage or stretching of the tissues causes these organs to press against the inner walls of the vagina. The symptoms may vary depending on the severity of the prolapse. One may often experience pelvic or abdominal pain, painful intercourse, vaginal bleeding, bladder infections, frequent urination and abnormal vaginal discharge.


This is very common among women and one out of every three women who have given birth experience this problem. Vaginal childbirth often weakens the support structures of the pelvic area. Prolapse may also occur after a hysterectomy if during the operation the pelvic support system is damaged in any way. In these cases, the pelvic organs bulge down into or out of the vagina. One out of nine women have complications because of pelvic prolapse which requires a surgery. The risk factors determining pelvic prolapse are growing age, obesity, multiple vaginal deliveries and hysterectomy.


If you are in your initial stage, you may be treated non-surgically, through medicines and a change in lifestyle. But if your symptoms get worse with time, you may be suggested by your doctor to undergo sacrocolpopexy. In this surgical procedure, a mesh is used to place the affected pelvic organ in their natural position. As per medical science, this is the best procedure for treating pelvic prolapse and resolve symptoms.


This is a major operation and is performed by cutting open the lower abdomen. The incision made is large and often takes a very long time to heal. On many occasions, this engenders wound infections and bleeding. The longer the stay in the hospital, the more it becomes a cause of concern for your family members. Laparoscopic surgeries are technologically far more advanced than open surgeries. A few small incisions are made in the abdomen with the help of a tiny camera which sends images in the operating room for the doctor’s perusal.


Another modern surgical method of curing prolapsian syndrome is through Da Vinci Surgery. This is advanced laparoscopy in which your surgeon makes a few tiny incisions in the abdomen with the help of a 3D HD Vision System and tiny wristed instruments that bend and rotate far more dexterously and with greater stability than the human hand. This enables surgeons to operate with enhanced vision, precision and control for complex cases, like never before. When compared to traditional methods, it has fewer chances of complications and lesser blood loss. Your doctor controls the Da Vinci System, which translates his or her hand movements into precise, smaller movements of tiny instruments inside your body. Though a ‘robot’, Da Vinci cannot act on its own. It is your doctor who performs the operation.


Every surgery, be it major or minor entails risks and complications. Even in a minimally invasive surgery, there is a risk of temporary pain or nerve injury associated with positioning, discomfort owing to a longer time of operation and longer effects of anesthesia. It is advisable to consult your doctor before taking a decision on a surgery to cure pelvic prolapse.

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