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Pelvic Floor Repair

Pelvic Floor Repair: What is it, risk, preparation before and post surgery care | KKH

Pelvic Floor Repair - What it is

What Is The Pelvic Floor?

This is an area in the body which is made up of muscles and supporting tissues (fascia) to provide support for the womb, bladder and rectum. If the pelvic floor is weak, the bladder, rectum and the womb may protrude out of the vagina.

Why Is The Pelvic Floor Weak?

This is often due to previous deliveries, menopause or excessive straining such as chronic cough, constipation or the presence of a pelvic mass.

What Are The Symptoms?

  • Heavy, dragging sensation
  • Lump that can be felt or seen at the vagina
  • Urinary difficulties (e.g. incomplete emptying of the bladder)
  • Bowel difficulties (e.g. constipation, incomplete emptying of bowels)
  • Pain
  • Infection
  • Bleeding

What Is Pelvic Floor Repair?

It is an operation performed from the vaginal route to restore the support of bladder and rectum and to remove excess vaginal skin so as to reduce the protruding bladder and / or rectum.

When the prolapse of the bladder & rectum is severe; there maybe a need to use synthetic meshes, that act as an extra support system. There are various systems used like the Gynaemesh and latest being the Prolift mesh system. It may be done together with other procedures to correct urinary incontinence or to remove the womb.

The objectives of the operation are to relieve your symptoms, restore vaginal anatomy and sexual function.

 

What Are The Risks Associated With Pelvic Floor Repair?

It is a relatively safe operation. However, like all surgical operations, complications may occasionally occur. These include:

  • Bleeding
  • Infection
  • Injury to surrounding tissues (e.g. blood vessels, bladder or rectum)
  • Blood clot formation in the legs or lungs
  • Recurrence of the lump
  • Slow return of bladder and bowel function
  • Dyspareunia is pain during sexual intercourse, which is uncommon when a mesh system is inserted
  • Mesh erosion, where the mesh system comes through the vaginal skin and this usually does not cause symptoms. The rate is approximately 10 to 15% and requires a small procedure to remove the protruding mesh and repair the vaginal skin

Pelvic Floor Repair - Symptoms

Pelvic Floor Repair - How to prevent?

Pelvic Floor Repair - Causes and Risk Factors

Pelvic Floor Repair - Diagnosis

Pelvic Floor Repair - Treatments

The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth

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