Surgery for prolapse of the uterus: characteristics and causes, rehabilitation after surgery
With age all the organs of the body wear out and more exposed to various diseases. The female body in this case is no exception, and given its complexity, particularly of the reproductive system, it is not surprising that a greater risk that genitals. Most affected are the uterus, because the woman in their lifetime “produced” by other people, so common disease of women – it is the omission, not rarely together with other internal organs. The most reliable and common method of treatment is considered surgery.
Only effectively carried out the operation with prolapse of the uterus with the use of modern medical technology allows to preserve the reproductive function, it is enough to quickly return to normal sexual life and eliminates the possibility of recurrence, provided that the disease does not run to an extreme degree.
Uterine prolapse – what is this disease
The uterus in the abdominal cavity is supported through the muscular system and the system of ligaments, but the ligaments and muscles for various reasons weaken, which leads to displacement of the uterus downwards under the action of the elementary forces of gravity. In this process, in the absence of appropriate treatment reproductive organ is lowered in the direction of a vaginal channel up to its complete loss.
This condition is called prolapse of the uterus and, unfortunately, is treatable only by surgery. Of course, there are special devices capable of holding the uterus in its place, as well as exercises that strengthen the muscles, but if the process of descent has begun, to stop it is possible only surgically, all other measures will bring only temporary relief.
The consequences of uterine prolapse
The internal organs in the human body are connected to each other using the same ligaments that support them in the normal position, so moving down the uterus “pulls” in all that is next.
- It puts pressure on the vagina, which causes its loss along with the uterus.
- The vacant space in the abdominal cavity can take the intestines, resulting in digestive problems.
- The displacement of the uterus zaselyalsya the bladder and rectum, which leads to nederjanii, constipation, inflammation of the ureters, and problems with defecation.
Naturally, the sexual life will have to give up even a small uterine prolapse causes discomfort and pain, and her loss is accompanied by a constant inflammation and bleeding.
In particularly severe disease can occur even tissue necrosis or blood poisoning, is a disease dangerous not only for the reproductive system in women, but also for life in General. Therefore, it is important to know what symptoms accompanied by a prolapsed uterus in order to start timely treatment, because it is the key to a full recovery and return to normal life.
- Feeling pressure in lower abdomen, constant discomfort and pain.
- The feeling of presence of a foreign body in the vagina.
- Pain and bleeding during sexual intercourse.
- Leakage of urine even minor physical exertion, sneezing, laughing.
- Incontinence of urine and feces (with concomitant prolapse of the bladder or rectum).
- Abundant vaginal discharge, often with blood.
The appearance of even one symptom of the above is reason for an immediate trip to the doctor – after all, any disease at the initial stage is much more open to treatment than severe cases.
The main cause of uterine prolapse is a weakening of the muscles and ligaments holding it. But why muscles are weakened and can prevent this unpleasant phenomenon?
The causes of weakening of muscles and prolapse of the uterus
- Rapid and traumatic birth.
- Great exercise.
- Physical inactivity and obesity.
- The disease is accompanied by prolonged cough.
- Frequent constipation.
- The hereditary factor.
- Tears of the perineum and operations on the organs of the pelvic floor.
All these factors contribute to weakening of the muscles of the pelvis – the pelvic diaphragm, with the result that the fabric becomes loose, loses its strength and elasticity, along with the ability to hold the uterus in place with neighbouring authorities in its place.
There are several degrees of prolapse of the uterus – the greater the degree the more the uterus is lowered in the direction of a vaginal channel, the harder it is to treat and to eliminate the effects – in severe cases, even the removal of the uterus and sewing the vagina.
The severity of prolapse of the uterus
- Is a small weakening of the muscle tissue and the displacement of the walls of the vagina.
- More noticeable weakening, accompanied by problems with urination and defecation. The bladder moves down and begins to bulge to the front wall of the rectum.
- The cervix descends to the level of the entrance to the vagina.
- Partial prolapse of the uterus – the part of the cervix protrudes beyond the vaginal canal.
- Complete prolapse with eversion of the vaginal walls.
Prolapse of the pelvic organs and uterus including part of the three most common gynecological diseases, so treatment of this disease has been a separate field of medicine – pelviperineal. Conducting such operations are not conventional medical doctors, and specially trained doctors specializing in the management of women with uterine prolapse.
There are several ways the operational solution to the problem of prolapse of uterus and pelvic organs. Each of them has its own advantages, disadvantages and contraindications. The most common disadvantages of operations is a high probability of recurrence, discomfort, pain, and disorders of the reproductive system.
The types of transactions with prolapse of the uterus
- Corporate – suturing of the vagina on the front or rear wall, resulting in narrowing the vaginal channel, that inhibits prolapse of organs. This method is applicable when 3 – 4 stage of the disease, the probability of recurrence is 40%, which is unacceptable for a modern level of development of medical technologies.
- Hysterectomy – the complete removal of the organ, sometimes together with appendages (depending on the severity of the disease). This method is used for the treatment of older women who have already extinguished the reproductive function, and sex life is completely absent.
However, complete removal of the uterus is not always justified, as it does not help to solve the problem with the prolapse of pelvic organs as cause of disease not the uterus, and weakening of the muscles that hold it. Therefore, after a hysterectomy there is a high probability of the omission of other vital organs, the removal of which is not possible.
- “Operation Grid” – is in fixing the uterus and adjacent organs to the pelvic bones using a special Paleologo of the implant (mesh). This surgery for prolapse of the uterus allows you to quickly and effectively get rid of the disease without recurrence and to preserve fertility, it is not rare from a dog suffer and young women planning to have children.
In addition, after this operation the woman a couple of months can return to normal sexual life. Installation of mesh occurs through small incisions in the vagina, groin or buttocks by a laparoscopic method, in the aesthetics of the female body is not broken, and the reproductive function is preserved. In addition, during surgery the doctor has the opportunity to correct the location of other internal organs without harm to the patient.
Rehabilitation after this treatment lasts about two months, after which the implant is fully survives and is not felt inside the body.
Rehabilitation after surgery
Full rehabilitation after surgery is 6 – 7 weeks, but to begin to return to normal activities after a week.
- The first 5 – 7 days it is necessary to drink a course of antibiotics by a doctor to minimize the risk of inflammation.
- For food use only liquid products, in order to avoid constipation.
- For two weeks it is not recommended to sit at all, so as not to strain the muscles of the pelvic floor.
- Return to exercise gradually and not earlier than in a month, or even later depending on the health of the patient and her individual performance.
- Full sexual life is possible only in two months after the operation.
Summarizing the above information we can conclude that the omission of the uterus and of the pelvic organs is a serious disease that it is better not to start. However, this is not a verdict – a modern level of development of medical technologies allows you to quickly solve the issue, maintaining fertility and the ability to have a fulfilling sex life.