Prolapse Surgery for Urinary Incontinence

What Is Pelvic Organ Prolapse (POP)?

Pelvic organ prolapse occurs when the muscles and tissues supporting the pelvic organs weaken or become stretched, allowing the organs (such as the bladder, uterus, or rectum) to drop or press into the vagina. This condition can lead to a variety of symptoms, including urinary problems, a feeling of pressure or fullness in the pelvic area, and difficulty with bowel movements.

How Is POP Related to UTIs?

When the bladder is involved in pelvic organ prolapse, it may not empty completely during urination. This residual urine can become a breeding ground for bacteria, leading to recurrent UTIs. In some cases, simply treating the UTI may not be enough, as the underlying issue—prolapse—needs to be addressed to prevent future infections.

What Is Prolapse Surgery for UTI?

Prolapse surgery is a procedure designed to restore the normal position of the pelvic organs, thereby alleviating the symptoms of POP and reducing the risk of recurrent UTIs. The surgery typically involves repairing and strengthening the tissues and muscles supporting the prolapsed organ. Depending on the severity of the prolapse, different surgical techniques may be used, including:

• Anterior Colporrhaphy: This procedure involves tightening the front wall of the vagina, which supports the bladder. It is often used when the bladder has prolapsed.
• Vaginal Vault Suspension: This surgery involves lifting and securing the top of the vagina to prevent it from collapsing and pressing on the bladder.
• Sacral Colpopexy: A minimally invasive procedure where a mesh is used to hold the vagina in its proper position by attaching it to the sacrum (the bone at the base of the spine).

What to Expect During Prolapse Surgery

Prolapse surgery is typically performed under general or spinal anesthesia and can be done either through the vagina or the abdomen, depending on the chosen technique. The procedure usually lasts between 1 to 2 hours, and most patients are able to go home the same day or the next.

Recovery After Prolapse Surgery

Recovery from prolapse surgery varies depending on the type of procedure performed and the individual’s overall health. However, most patients can expect:

• Rest and Activity: Patients are usually advised to rest and avoid heavy lifting or strenuous activities for at least 6 weeks. Walking and gentle movement are encouraged to promote circulation and healing.
• Pain Management: Mild to moderate pain is common after surgery, but it can usually be managed with prescribed pain medications.
• Follow-Up Care: Regular follow-up visits with the surgeon are essential to monitor healing and ensure that the prolapse repair is effective.
• Prevention of Future UTIs: By addressing the underlying prolapse, the risk of recurrent UTIs is significantly reduced. However, maintaining good urinary hygiene and staying hydrated are also important for preventing infections.

Who Is a Candidate for Prolapse Surgery?

Not everyone with pelvic organ prolapse or recurrent UTIs will require surgery. Surgery is typically considered when:

• Conservative treatments (such as pelvic floor exercises or pessary use) have not provided sufficient relief.
• The prolapse is causing significant symptoms, such as urinary retention, incontinence, or frequent UTIs.
• The patient is healthy enough to undergo surgery and is informed about the risks and benefits.

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital and the finest doctor, for prolapse surgery. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!