Prolapse

PROLAPSE

The awareness of bulge in the vagina or a lump protruding through the vaginal opening is the main symptom of prolapse.

There are essentially 5 different types of prolapse but an individual may have any combination of those 5.

They include:

· Anterior compartment - Bladder descent or ‘Cystocele’ - Urethral descent or ‘Urethrocele’

· Middle compartment - Uterine descent—‘Utero-vaginal prolapse’ or ‘Vault prolapse’ if the uterus has been removed.

· Posterior compartment - Rectal descent -’Rectocele’ - Descent of upper third -’Enterocele’

Prolapse represents a form of hernia so treatment needs to support or correct that hernia.

Conservative treatment involves the insertion of ’ring’ pessaries to stop the hernia coming down.

Surgical repair is the more definitive treatment and the nature of the surgery depends on the type and extent of prolapse.

Operations include:

Highly specialised mesh has been considered if a prolapse recurs.

There have been improvements in the structure of the mesh - any mesh should ideally be an open weave, monofilament nylon mesh with pore size greater than 75µ to minimise reactions and erosions.

So, what about mesh?:

SPECIFIC PROBLEMS

The Home of Pelvic Floor & Bladder Control Problems in South Australia

ADELAIDE SPECIALIST INCONTINENCE SERVICES

Click below on the specific problem for more detail on that problem.

Specific problem —General

Lower Urinary Tract Symptoms

ADELAIDE SPECIALIST INCONTINENCE SERVICES

Phone: [08] 8332 1111

Fax: [08] 8332 5586

E-mail:

info@incontinence-sa.com.au

To contact us:

Suite 2, 128 Fullarton Road

Norwood SA 5067

· Anterior vaginal repair

· Sacrospinous Colpopexy

· Posterior vaginal repair

· Abdominal sacro-colpopexy

· Manchester repair +/- vaginal repair

· Vaginal hysterectomy +/- vaginal repair

· Not for primary repairs.

· Risks of erosion and rejection & pain explained.

· Surgeon must be experienced with mesh.

· Treatment of the complications difficult.

· Risk of infection explained.