What is female Pelvic Reconstructive Surgery?

What is female Pelvic Reconstructive Surgery?

Reconstructive surgery aims at restoring the anatomy of the pelvic floor and eliminate bothersome symptoms from incontinence and prolapse.

Photo by Joel Muniz on Unsplash

Get relief from the symptoms of urinary incontinence, lower urinary tract disorders, pelvic organ prolapse, and childbirth-related injuries.

Pelvic Organ Prolapse

Pelvic organ prolapse means that a pelvic organ—such as your bladder—has shifted (prolapsed) from its proper anatomical position and is bulging into the vagina. This happens when the muscles holding your pelvic organs in place get weak or stretched. This often happens in childbirth. Other causes of prolapse are aging, menopause, obesity, a chronic cough, and frequent constipation.

Pelvic Organ Prolapse treatment

If you are having pelvic pain or problems incontinence with your bladder and bowels, or if the prolapse is making it hard for you to do activities you enjoy and conservative approaches are not working, you may decide to have pelvic surgery.

Two common forms of pelvic organ prolapse are bladder prolapse (cystocele) and vaginal vault prolapse. A cystocele occurs when the wall of the bladder presses against the front wall of the vagina. A vaginal vault prolapse occurs typically after a hysterectomy when the top of the vagina starts to collapse and drops into the vagina.

Vagina Coach, Kim Vopni, Pelvic Surgery Success

If you experience mild symptoms, try doing Kegel exercises. You can also try a pessary. Surgery is an option for some people whose symptoms don't get better with other treatments.

What you need to know about Pelvic Organ Prolapse

Vaginal Prolapse Surgery

Vaginal vault surgery can help manage the symptoms such as sagging of the top of the vagina into the vaginal canal.  Bladder prolapse surgery, typically called an anterior repair or anterior colporrhaphy, can help eliminate bothersome symptoms,  urinary incontinence, and difficulty voiding.

During vaginal vault surgery, the top of the vagina is attached to the lower abdominal wall, the lower back spine (lumbar), or the ligaments of the pelvis. With an anterior repair, the prolapse is usually repaired through the vagina.

Repair of Rectocele or Enterocele

A rectocele occurs when the rectum pushes against the back wall of the vagina. An enterocele (small bowel prolapse) occurs when the small bowel presses against and moves the upper wall of the vagina. Rectoceles and enteroceles develop if the lower pelvic muscles become damaged by labour, chronic constipation and straining, childbirth, or previous pelvic surgery or when the muscles are weakened by aging. When you strain or bear down during a bowel movement, a rectocele or an enterocele may become more obvious.

Vagina Coach, Kim Vopni

My Decision to Have Prolapse Surgery - Rectocele Repair

Rectocele and enterocele are defects of the pelvic supporting tissue and not the bowel wall, and can be treated with surgery to repair the vaginal wall pulling together the stretched or torn tissue in the area of prolapse. Surgery can also strengthen the wall of the vagina to prevent prolapse from recurring. Unless there is another health problem that would require an abdominal incision, rectoceles and enteroceles are usually repaired through the vagina. I had a rectocele repair, called a posterior colporrhaphy, in Dec 2021.

Pelvic Surgery Success

Pelvic surgeries can have a high rate of recurrence and I believe that is in large part because so much information is not shared with women ahead of time about what to expect, how to prepare, how to recover, return to fitness guidelines, nutrition protocols and more.

I want you to live your best life free from the distractions that come along with pelvic floor challenges like incontinence, prolapse, fibroids, heavy bleeding, endometriosis and more.

Surgery may be the best option for you and I want you to be informed so you can make the best decision for your body and be calm and confident before, during and after the procedure.

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kim vopni, vagina coach, pelvic surgery