Uterine / Vaginal Prolapse Surgery Chennai
Uterine / Vaginal Prolapse (UP) Surgery Chennai
Uterine or vaginal prolapse can be mild or severe. Where the case is mild or a patient is not a suitable
candidate for surgical therapy pessaries may be offered instead. Conservative treatment may also be
recommended to bolster pelvic floor muscular tone or stress UI, vaginal exercises, and different
pessaries. The principal management approach for serious UP is normally surgical. This will be
appropriate if antecedent conservative management has been a failure. For surgical procedures, there
are different methodologies, viz.
Laparoscopic or Abdominal Approach
The laparoscopic approach corrects UP and allows the upper vaginal parts to return to their normal
shapes by attaching propylene mesh to the sacrum using sutures vide the pre-sacral fascia onto the
promontory if strong and without vessels. You should avoid multifilament mesh as it is causes chronic
inflammation; however, monofilaments only produce acute irritation and forms less fibrous tissue.
Laparoscopic entails scarocolpopexy in certain instances, but the latter causes more bleeding, prolongs
hospital stay and lengthens the operation time. Nevertheless, with advanced technology, doctors now
prefer robotic sacrocolpopexy as it offers an overly dexterous instrument, 3D visibility and does not
need a secondary surgical assistant.
Alternatively, a vaginal surgery may be proffered as the patient will convalesce within a short period of
time. The approach also suffices where there is need to correct incontinence and if simultaneous vaginal
reconstruction is necessary. Your healthcare provider will discuss with you three vaginal procedures,
including iliococcygeus fascia suspension, higher uterosacral ligament suturing and sacrospinous
ligament fixation. Uterine prolapse surgical procedure which entails a contemporaneous hysterectomy
may also be undertaken. In this vein, the uterus can be preserved for future pregnancies but different
procedures give varying results, however, success rates are as high as 70-90%. In most cases, health care
providers will proffer vaginal hysteropexy, Manchester procedure (part trachelectomy, uterosacral
ligament uterine suspension), Sacrospinous hysteropexy, vaginal mesh hysteropexy, abdominal sacral
hysteropexy, Laparoscopic sacral hysteropexy and Laparoscopic uterosacral hysteropexy.
Factors to Consider
Due to the disparity in vaginal prolapse surgery techniques that are available today, one should ensure
they visit a reputable clinic to leverage modern technology and perspicacious physicians. Most of the
surgical approaches have not been shown to succeed by 100%; however, there are approaches that will
work for efficiently for different patients. A qualified and specialist surgeon will undertake painstaking
examination before referring you to a surgery. Consider if the health care provider is abreast with
emerging treatment techniques that relieve pain, shorten hospital stay period and quicken recuperation.
By the same token, your doctor should recommend conservative treatment to avoid the risks of a whole
operation. Some cases may be fixed without complex meshing but others may be unresponsive to the
conventional approaches. If a surgery is ineluctable, choose modern but beware they may fall short of
classical tools, for instance robotic sacrocolpopexy has been shown to be painful. In a nutshell, if you are
seeking for a healthcare to undergo Uterine / Vaginal Prolapse (UP) Surgery, you should hire a reputable
and experienced medical practitioner.