Do you occasionally leak stool while passing gas? Do you soil your undergarments with stool? Do you suffer from complete loss of bowel control?
On the other hand, do you experience difficulty in evacuating stools? Are you unable to have regular bowel movements? Do you go for three days or longer without defecating?
Have you undergone treatment for the above problems intermittently but found no relief?
Do you have the uncomfortable feeling that ‘something is falling out of your vagina’? Are you troubled by a deep pelvic pressure or a dragging sensation in the lower abdomen? If yes, you may be suffering from a condition known as vaginal prolapse.
Vaginal prolapse is the loss of support to the pelvic organs that surround the vagina. This results in the bulging (dropping) of the bladder, urethra, rectum or uterus into the vagina. It may also be associated with urinary incontinence (leaking of urine on cough or any other stressful movement) or fecal incontinence (leaking of stools). Please visit our patient information center here to read about these individual conditions.
In the prolapse clinic at UPHI, we aim to provide the best in care for the treatment of prolapse. We will work with you to create a treatment plan most suited to your individual characteristics: your support defects, age, needs, physical condition and activity.
Your doctor will perform a thorough physical examination including vaginal examination to understand the extent and cause of the problem and the specific support defect. Other specialized testing may be necessary if you have concomitant urinary incontinence, fecal incontinence or constipation and also to test if your bladder is infected or emptying properly.
There are a variety of non-surgical and surgical treatments available for prolapse.
Non-surgical treatments include:
- Physiotherapy: For patients with mild prolapse, exercises to strengthen the muscles and ligaments may help in supporting the pelvic organs and prevent progression. Pelvic exercises may also help prevent recurrent prolapse after surgical repair and correct any uncoordinated movement of the pelvic floor that may be worsening the prolapse or may be responsible for failure following surgery.
- Treatment and avoidance of constipation by adding high fiber foods and natural stool softeners. Constipation can worsen the prolapse.
- Application of low-dose estrogen cream vaginally may help in the case of thinning of vaginal wall and dryness and help improve vaginal support.
- Pessaries: Pessaries are devices placed in the vagina to support the vaginal wall. Different types of pessaries are available. The design and size most appropriate for you will be fitted in our office and you will be taught how to remove it for cleaning and replacing it yourself.
When the prolapse is left untreated, it can get increasingly worse, and may eventually require surgical intervention.
Our goal is to identify and address surgically all sites of weakness in the vaginal wall, thereby minimizing the risk of recurrence. These state-of-the-art operative repairs are often combined with repairs for urinary incontinence and fecal incontinence. Though almost all surgical repairs are performed through the vaginal route, laparoscopic repair will be performed for select cases, for example, recurrent prolapse after vaginal hysterectomy.
If you believe you may be experiencing prolapse of any of the pelvic organs, the prolapse clinic at UPHI can help you. Our multidisciplinary approach combines the best in non-surgical and surgical treatments provided by internationally trained doctors and a comprehensive physiotherapy team under one roof.
Often patients with prolapse have concomitant bowel and bladder problems, especially urinary incontinence. Our Integrated Pelvic Floor Centre ensures that we provide you with all the solutions that you need for your pelvic floor problems.
Dr. Hegde and her team of professionals offer the best, most compassionate care for women in a state-of-the-art facility to ensure that you receive the most effective and technologically advanced treatments.
Contact UPHI today to schedule a consultation appointment.