As age advances many women especially after menopause suffer from uterine prolapse. It is a condition in which the uterus moves from its usual place down into the vagina. Women suffering from this condition also leak urine on coughing & sneezing.
Uterine prolapse is due to weak and stretched pelvic ligaments and tissues. Some of the causes are:
- vaginal childbirth
- Being overweight or obesity
- Repeated lifting of heavy objects
- cough a lot or strongly
- The diagnosis is usually performed with a pelvic exam as well as bladder and urine tests
- In mild cases the doctor advises to adopt certain self-care measures, such as exercises to enhance the strength the pelvic floor muscles. But in severe cases surgery is imminent for complete treatment.
Earlier these unfortunate women were treated with a vaginal procedure wherein the uterus was removed and the tissues around the uterus were stitched and tightened with strong sutures. But very often women who were treated by this method again had prolapsed of the vault after couple of years. This was because that stitching together of these old tissues is like stitching a worn out cloth together again which fairly is a useless procedure.
Latest Surgical procedure
Laparoscopic mesh sacrocolpopexy: In this procedure a permanent mesh is placed to support the weak tissue so that the vault can never fall out into the vagina. A piece of mesh is attached to the tailbone to give the vagina and/or uterus a permanent support.
As this procedure is performed by laparoscopy the permanent mesh gives the patient a permanent cure and has the advantages of no/minimal blood loss, only one day hospital stay. No or minimal pain and early resumption of day to day activity. This surgery is a boon for women with a higher stage prolapse or a prolapse that has come back after a prolapse surgery. It may also be an option for younger women who don’t want to have a hysterectomy.