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What is uterine prolapse surgery?

Uterine prolapse is a condition which occurs when uterus drops down into or juts out of the vagina. Prolapse happens when the pelvic ligaments and muscles grow weaker and stretch, and no longer provide sufficient support for the uterus. Prolapse might be complete or incomplete. Depending on factors like age of the woman, desire for becoming pregnant and the overall state of a woman’s health, the treatment plan is decided. 

What are the treatment options for a uterine prolapse?

  • Pelvic floor exercises
  • Pessary
  • Surgery 
    • Vaginal hysterectomy with pelvic floor repair
    • Pelvic floor repair
    • Sacrospinous fixation

Why is uterine prolapse surgery performed?

Uterine prolapse surgery is performed to remove the uterus and repair the weak tissue. Uterine prolapse frequently occurs in postmenopausal women who've had one or more vaginal deliveries. Sagging of the pelvic muscles which leads to uterine prolapse can occur:

  • If supportive tissues are damaged during pregnancy and delivery
  • Due to estrogen loss
  • As a result of straining repeatedly over the years (chronic cough, constipation etc.)
  • Due to gravitational effects

How to prepare for uterine prolapse surgery?

Some preparation is a needed for this gynecologic surgery. The doctor might give a few guidelines that need to be followed before the procedure is carried out:

  • The doctor will give details of the technique and will give sufficient opportunity to clarify all doubts regarding the technique.
  • Consent will be taken to ensure patient’s approval for the procedure. 
  • Further to an absolute medical history, the doctor might carry out a complete physical investigation to make certain that the patient is in good health to undergo the procedure. Some other diagnostic tests or blood tests may sometimes be required.
  • 6-12 hours of fasting is required before the surgery.
  • Inform the doctor about any pre-existing allergies to any anesthetic agents, tape, medications or latex.
  • Inform the  doctor about any previous treatment  for a cervical, vaginal, or pelvic infection in the past 6 weeks
  • Inform the doctor about any pre-existing lung or heart problems.

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