Uterine prolapse

• Any diagnosis can accurately determine the severity of a problem.

• Conservative treatment for minor prolapse: electrical stimulation, laser therapy.

• Minimally invasive surgery for severe prolapse: operations with vaginal and laparoscopic access, using a new generation Da Vinci robot.

Genital prolapse (uterine prolapse) is a condition characterized by prolapse of the female genital organs (walls of the vagina, uterus, and cervix). With severe prolapse, there may be bladder prolapse and rectum. The problem arises due to the weakening or stretching of the muscles and ligaments of the pelvic floor. Uterine prolapse can occur in women at any age.

Symptoms of uterine prolapse

The initial stages of genital prolapse are asymptomatic, so they can only be detected by examination by a doctor and special tests. Over time, the omission of the genitals inevitably progresses. In this regard, it is important to identify the disease in time and start treatment.

With the progression of uterine prolapse, one or more symptoms may appear and increase.:

• heaviness in the pelvic region;

• pain during sexual intercourse;

• frequent urination, urinary incontinence when coughing/sneezing/jumping;

• difficulty urinating;

• incontinence or delayed stools;

• discomfort in the perineum area when sitting or walking.

Consequences of genital prolapse

If timely measures are not taken, the following may happen:

• prolapse of the cervix and uterus;

• inversion of the walls of the vagina, intestines and bladder;

• intestinal malfunction;

• inflammation of the vagina and uterus;

• significant deterioration in the quality of sexual life.

Causes of uterine prolapse

Among the risk factors for prolapse formation:

• two or more births, difficult births;

• postmenopause;

• regular weight lifting;

• chronic constipation, chronic cough, weight gain.

Diagnosis of uterine prolapse

Genital prolapse is diagnosed by a gynecologist.

Since prolapse is accompanied by urinary disorders in every third woman, urodynamic examination (CDI) is performed on Laborie equipment to determine the severity of the problem and its solution at the EMC Gynecology and Oncogynecology Clinic. It is this equipment that is used for conducting CUDI in leading medical clinics in the USA and Europe.

Prolapse treatment

Conservative treatment

In the initial stages of genital prolapse, specialists prescribe conservative treatment to strengthen the pelvic floor muscles and painless electrical stimulation. These techniques prevent the progression of the disease.

In case of slight uterine prolapse, EMC gynecologists use an effective non–surgical treatment method - fractional photothermolysis (laser therapy).

Surgeons EMC Gynecology clinics have extensive experience in performing a full range of reconstructive pelvic minimally invasive operations for genital prolapse and stress urinary incontinence for women.

In case of severe prolapse, EMC specialists perform surgical intervention. The essence of the operation is to strengthen the damaged ligaments holding the female genitals, bladder and rectum, combined with excision of excess overgrown tissues.

Most of these manipulations are performed by vaginal access without incisions in the abdomen, so women recover quickly after surgery.

EMC gynecologists also perform modern laparoscopic manipulations, during which specialists lift the pelvic organs using mesh implants (sacrocolpopexy). Most of these operations are performed using a new generation Da Vinci robot.

If prolapse is accompanied by stress , EMC gynecological surgeons perform a sling operation to treat urination as part of the prolapse intervention. During such an operation, a special tape (sling) is installed for the patient to maintain the urethra. The woman does not feel the installed sling.