Sex after vaginal prolapse surgery. Orgasm After Prolapse Surgery.



Sex after vaginal prolapse surgery

Sex after vaginal prolapse surgery

Treatment Options Vaginal Prolapse Repair Surgery Your doctor has recommended a vaginal reconstructive procedure to treat your condition. The operation involves surgery to reattach the vagina to its original supports. In some instances your doctor may suggest removal of the uterus as part of your operation to correct prolapse. Definition of Prolapse This term refers to weakness in vaginal supports which results in a protrusion of the vaginal wall s.

This is more likely to occur during activities which increase the pressure inside the abdomen and pelvic floor such as heavy lifting or straining, coughing or sitting on the toilet to pass a bowel action.

This may result in a noticeable bulge, lump or dragging sensation in the vagina. The lump may be due to a weakness in the front, back or top of the vagina or a combination of all three.

The bladder sits in front of the vagina, the bowel rectum sits behind the vaginaand the cervix and uterus lie at the top of the vagina. A lump that comes out of the vagina can consist of one or more of these organs. This is why some people have trouble emptying their bladder or opening their bowels. Occasionally prolapse can distort the anatomy causing obstruction to the urinary tract masking incontinence. Surgery to repair a prolapse, in correcting this obstruction, may occasionally result in stress incontinence post operatively.

Sometimes a simple additional procedure to prevent this happening is performed at the same time. Your specialist can discuss whether this might be appropriate for you. Both prolapse and urinary incontinence are more common in women who have had children.

It is thought that tissue damage due to childbirth worsens with age, leading to the gradual onset of prolapse symptoms. Some women seem particularly prone to developing prolapse.

There are many surgical procedures that can correct your problem. Your doctor will discuss various options with you to help you decide what is likely to be the best solution. Anterior and Posterior Repair Front and back wall of the vagina This operation involves incisions inside the vagina which enables the surgeon to access the tissue supporting the vagina.

This tissue fascia is strengthened with stitches and reattached to the supporting structures within the pelvis. This may involve the front or the back walls of the vagina or both, depending on the type of prolapse you have. The incisions inside the vagina are then closed with stitches that will dissolve in a few weeks. At the end of the operation a catheter will be placed into your bladder to drain urine and a gauze pack will be placed in the vagina to prevent bleeding.

These will remain in place for days. They are easily removed by the nursing staff. Usually 2 permanent stitches are placed into one or two tough fibrous structure known as the sacrospinous or uterosacral ligament.

The stitches are then secured to the top of the vagina just beneath the skin. Sometimes the procedure is done on both sides and usually performed along with one of the other procedures listed on this page.

This stitch may cause some temporary discomfort in the buttock which may persist for up to three months. Laparoscopic Vault Suspension for isolated uterine or vaginal vault prolapse From within the abdomen and using keyhole instruments, permanent stitches are placed between the top of the vagina and the supportive structures adjacent to it.

This can be performed as a stand alone procedure or at the same time as a Total Laparoscopic Hysterectomy to correct vault prolapse. This approach allows good visualisation of the tissues to be repaired, does not involve opening the vagina unless a hysterectomy is done at the same time and avoids shortening or narrowing the vagina. Vaginal Mesh Sometimes the overstretched vaginal wall tissues forming the prolapse bulge may not be suitable for a standard repair particularly when a prior vaginal repair has failed, the fascia is weak and the prolapse is very large.

Current recommendations are that vaginal mesh placement only be considered for women over the age of 50 years with large and recurrent prolapses, particularly where other risk factors for failed traditional repair are present such as chronic cough or straining with very weak supporting tissues. Mesh should be avoided in the presence of pre-existing chronic pelvic pain or infection and prolonged steroid use and caution exercised in the presence of multiple other risk factors such as smoking, morbid obesity and diabetes.

Your specialist will be happy to discuss the pros and cons of vaginal mesh use in your prolapse repair with you. This may be due to the recurrence of an old prolapse or development of a new type of prolapse. Complications after Surgery for Prolapse or Incontinence These risks of surgery can be divided into general risks associated with any operation and risks specific to the surgery you are having.

General risks of surgery.

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Sex after vaginal prolapse surgery

Treatment Options Vaginal Prolapse Repair Surgery Your doctor has recommended a vaginal reconstructive procedure to treat your condition.

The operation involves surgery to reattach the vagina to its original supports. In some instances your doctor may suggest removal of the uterus as part of your operation to correct prolapse. Definition of Prolapse This term refers to weakness in vaginal supports which results in a protrusion of the vaginal wall s. This is more likely to occur during activities which increase the pressure inside the abdomen and pelvic floor such as heavy lifting or straining, coughing or sitting on the toilet to pass a bowel action.

This may result in a noticeable bulge, lump or dragging sensation in the vagina. The lump may be due to a weakness in the front, back or top of the vagina or a combination of all three. The bladder sits in front of the vagina, the bowel rectum sits behind the vaginaand the cervix and uterus lie at the top of the vagina. A lump that comes out of the vagina can consist of one or more of these organs. This is why some people have trouble emptying their bladder or opening their bowels.

Occasionally prolapse can distort the anatomy causing obstruction to the urinary tract masking incontinence. Surgery to repair a prolapse, in correcting this obstruction, may occasionally result in stress incontinence post operatively. Sometimes a simple additional procedure to prevent this happening is performed at the same time. Your specialist can discuss whether this might be appropriate for you.

Both prolapse and urinary incontinence are more common in women who have had children. It is thought that tissue damage due to childbirth worsens with age, leading to the gradual onset of prolapse symptoms. Some women seem particularly prone to developing prolapse. There are many surgical procedures that can correct your problem. Your doctor will discuss various options with you to help you decide what is likely to be the best solution.

Anterior and Posterior Repair Front and back wall of the vagina This operation involves incisions inside the vagina which enables the surgeon to access the tissue supporting the vagina. This tissue fascia is strengthened with stitches and reattached to the supporting structures within the pelvis.

This may involve the front or the back walls of the vagina or both, depending on the type of prolapse you have. The incisions inside the vagina are then closed with stitches that will dissolve in a few weeks.

At the end of the operation a catheter will be placed into your bladder to drain urine and a gauze pack will be placed in the vagina to prevent bleeding. These will remain in place for days. They are easily removed by the nursing staff. Usually 2 permanent stitches are placed into one or two tough fibrous structure known as the sacrospinous or uterosacral ligament. The stitches are then secured to the top of the vagina just beneath the skin.

Sometimes the procedure is done on both sides and usually performed along with one of the other procedures listed on this page. This stitch may cause some temporary discomfort in the buttock which may persist for up to three months. Laparoscopic Vault Suspension for isolated uterine or vaginal vault prolapse From within the abdomen and using keyhole instruments, permanent stitches are placed between the top of the vagina and the supportive structures adjacent to it.

This can be performed as a stand alone procedure or at the same time as a Total Laparoscopic Hysterectomy to correct vault prolapse. This approach allows good visualisation of the tissues to be repaired, does not involve opening the vagina unless a hysterectomy is done at the same time and avoids shortening or narrowing the vagina.

Vaginal Mesh Sometimes the overstretched vaginal wall tissues forming the prolapse bulge may not be suitable for a standard repair particularly when a prior vaginal repair has failed, the fascia is weak and the prolapse is very large.

Current recommendations are that vaginal mesh placement only be considered for women over the age of 50 years with large and recurrent prolapses, particularly where other risk factors for failed traditional repair are present such as chronic cough or straining with very weak supporting tissues. Mesh should be avoided in the presence of pre-existing chronic pelvic pain or infection and prolonged steroid use and caution exercised in the presence of multiple other risk factors such as smoking, morbid obesity and diabetes.

Your specialist will be happy to discuss the pros and cons of vaginal mesh use in your prolapse repair with you. This may be due to the recurrence of an old prolapse or development of a new type of prolapse. Complications after Surgery for Prolapse or Incontinence These risks of surgery can be divided into general risks associated with any operation and risks specific to the surgery you are having.

General risks of surgery.

Sex after vaginal prolapse surgery

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5 Comments

  1. This may be due to the recurrence of an old prolapse or development of a new type of prolapse. This allows time for the body to heal; bruising will have dissipated, internal sutures will have healed and any swelling will have gone down by this point. Do you have a partner at this time?

  2. Your specialist can discuss whether this might be appropriate for you. As a pelvic floor reconstructive surgeon or vaginal restorative surgeon, one of the important functions of the vagina, sexual activity, can not be overlooked.

  3. Definition of Prolapse This term refers to weakness in vaginal supports which results in a protrusion of the vaginal wall s.

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