Dr. R. Lalitha is a Consultant Obstetrician & Gynaecologist, and HOD of the Department with over 43 years of experience who specialises in the field of routine obstetric care, high-risk obstetric care and obstetric critical care.
Women generally face a lot of urogynaecology problems in their young or old age. Some major problems include,
Certain activities that exert pressure on the abdomen might cause uncontrolled urine leak in mostly women who have stress urinary incontinence. Coughing, laughing, sneezing, and exercising are examples of these activities. The bladder neck moves downward due to the weakening of the pelvic muscles and tissues. Factors such as pregnancy, delivery, and aging can cause the pelvic muscles to stretch or weaken, just as they can in pelvic organ prolapse.
Uterine prolapse occurs when the pelvic floor muscles and ligaments stretch and weaken, no longer supporting the uterus adequately. As a result, the uterus enters or protrudes from the vagina. Uterine prolapse can develop at any age in women.
When these tissues become strained and weakened, the bladder can sink and protrude through this layer and into the vagina. Cystocele is another term for bladder prolapse. In women, bladder prolapse is prevalent.
When the top of the vagina weakens and collapses into the vaginal canal, this is referred to as vaginal prolapse. The apex of the vagina may bulge outside the vaginal opening in more severe cases of vaginal prolapse.
Treatment is based on the cause for incontinence. Some women can be treated with medications and pelvic floor exercises.
Those who fail medical treatment may need surgical treatment with mesh.
The pelvic organs may migrate downhill and bulge out of the vaginal opening in pelvic organ prolapse. This happens when the pelvic floor muscles and tissue aren't strong enough to keep the organs in place. The bladder, uterus, rectum, vagina, and urethra are all organs in the pelvis that can prolapse. Pregnancy, childbirth, and age are all factors that can raise the risk of POP in women. In most cases of pelvic organ prolapse, the bladder is involved. Cystocele is the medical term referred to for bladder prolapse.
For POP repair or SUI repair, surgical mesh can be permanently inserted to reinforce the vaginal wall or support the urethra or bladder. Surgical mesh is used in three different surgical procedures:
Mesh is inserted transvaginally for pop treatment.
Mesh is inserted transabdominally to treat POP.
SUI mesh sling : A multi-incision sling method with three incisions (cuts) can be used for treatment of stress urinary incontinence. Two very small incisions are made above the pubic bone, and a third incision is made in the vagina in the retropubic operation. In the transobturator operation, two extremely small incisions are made in the groin and thigh and one is made in the vagina.
The positioning and anchoring of the mesh to be safe, and it has not been linked to any serious issues. The patient's own tissue is used to elevate the prolapsed organs and reestablish the pelvic organ support in transvaginal prolapse repair utilizing native tissue.
Non-absorbable mesh is considered a permanent implant because it will remain in the body indefinitely. It's utilized to give the repaired area some long-term support. Over time, absorbable mesh will erode and lose strength
The graft is usually attached to the pelvic floor muscles. In most cases, this procedure is painless. You can feel like you've been 'riding a horse.' You will experience some discomfort and pain, so take pain medicine as needed.
The surgery takes roughly an hour to an hour and a half on average. The majority of people who have mesh removed will require general anesthesia, and others will require at least one day in the hospital. Depending on the scope of the procedure, recovery could take weeks or months.
The whole mesh is removed through a combination of a vaginal incision where the tape is mobilized between the pubic bones and 6-7 cm incisions in the groin. This operation is easier if the obturator tape has not been partially removed earlier.
I started to lose my control over the flow of urine and tried many exercises and treatments but nothing seemed to show any improvement. I visited Sri Ramakrishna Hospital after seeing many reviews. After examining my condition, the doctor suggested that I undergo mesh surgery, I was clearly explained about the procedure and after the procedure now I am completely fine. Thank you Sri Ramakrishna hospital for your swift response and treatment.
I suffered from severe pain in the back, and visited many hospitals to find a cure. But nothing worked, so I searched for a good hospital that could help me out of the situation. Upon the research I found Sri Ramakrishna Hospital and visited the hospital. My doctor suggested that I undergo mesh surgery. It's been 3 months since the surgery and I am completely free of pain. Thank you Sri Ramakrishna Hospital for helping me get rid of the pain.
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