Medical experts assert, citing records from different medical facilities around the country, that surgical procedures have become a practical treatment option for the thousands of women affected with pelvic organ prolapse (POP) and stress urinary incontinence (SUI). It is estimated that as high as 19 percent of women may undergo an operation for these disorders by the age of 80 years.

 

Although surgical procedures may be very common, patients are cautioned by advocates of female health and even medical practitioners from immediately taking this option to treat their conditions. Before deciding on these invasive measures, women are strongly advised to try conservative methods of management first.

Three important things to bear in mind when contemplating on a surgical procedure to repair your POP and SUI are the following:

You Have Symptomatic Prolapse

To be considered as a candidate for surgical treatment, your prolapse must be manifested by symptoms which greatly affect your regular activities. Bleeding and chronic discharge due to severe protrusion of a vaginal tissue is one example which causes constant pain, possible complications, a disruption of your sexual life.

About 40 percent of women diagnosed with POP are asymptomatic and were only discovered upon pelvic examination, according to research. Patients falling under this group are strongly urged to follow conservative means of therapy and discouraged from undergoing surgical procedures. Having a surgery may yield benefits which may not be enough to offset the risks involved.

Conservative Measures Have Not Been Effective

For both POP and SUI, the first line management has always been conservative methods which have been found effective in a number of patients. Included in these methods are pelvic floor training exercises of Kegels exercises, lifestyle or behavioral changes, and the use of devices such as the vaginal pessary.

If these options have not been effective in managing your condition and you are in constant pain which is affecting your quality of life, then surgery may be considered. All possible options should first be exhausted before doing away these non-invasive methods. It should be ascertained that these conservative methods have been done properly. You may have experienced no improvements with your pelvic floor exercises since you may have been using the wrong muscles or the wrong movements.

Plans Regarding Pregnancy

Surgical procedures are advisable when you do not intend to have additional children, according to doctors. An alternative is to have your surgery when you have completed your childbearing.

While there might have been women who have successfully given birth after a surgery, this has been very limited. During pregnancy, the pelvic support may be greatly affected which may result to the recurrence of prolapse after childbirth or even during the pregnancy period.

From among the various procedures available today, you must play an active role in choosing the type of surgery after you have decided to have that surgery for your prolapse. Severe complications leading to injuries have been associated with surgeries using vaginal mesh devices which have resulted to vaginal mesh lawsuits, making a lot of women wary of this type of operation. You may refer to vaginalmeshlawsuitscenter.com for more information.

 

References:

uptodate.com/contents/pelvic-organ-prolapse-in-women-choosing-a-primary-surgical-procedure

pamf.org