Genital prolapse and incontinence

Genital prolapse and incontinence

It occurs when the womb (uterus), and / or bladder, and / or rectum fall and exert pressure on the vaginal area.

What is the treatment of uterine and / or genital prolapse?

The treatment is not necessary, unless the symptoms cause discomfort.

Different types of treatments include:

  • Changes in lifestyle
  • Lose weight if you are obese
  • Avoid making efforts and lifting heavy objects
  • Get treatment for a chronic cough. If the cough is due to smoking, try to quit smoking
  • Vaginal pessary: the doctor may recommend placing a rubber or plastic device in the form of a thread, called a pessary, inside the vagina. This device holds the uterus in place. The pessary can be used for a short or long time. The device fits your vagina. Some pessaries are similar to a diaphragm used for birth control.

The pessaries should be cleaned regularly. Sometimes it is necessary to be cleaned by the doctor or the nursing staff. Many women can be taught how to insert, clean and remove the pessary.

The side effects of pessaries include:

  • Smelly discharge from the vagina
  • Irritation of the lining of the vagina
  • Ulcers in the vagina
  • Problems with normal sexual intercourse

What is the surgical treatment of genital and / or uterine prolapse?

The surgery should not be done until the symptoms of the prolapse are worse than the risks of undergoing the operation. The specific type of surgery depends on:

  • The severity of the prolapse
  • A woman’s plans for future pregnancies
  • The age, health and other medical problems of a woman
  • The desire of the woman to preserve vaginal function

There are some surgical procedures that can be performed without removing the uterus, such as sacrospinous fixation. This procedure involves the use of nearby ligaments to support the uterus. There are other procedures that can also be performed.

Often, a vaginal hysterectomy is used to correct uterine prolapse. Any detachment of the vaginal walls, the urethra, the bladder or the rectum can also be corrected surgically at the same time.

Source: Medline Plus: National Library of Medicine of the USA

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