Uterine prolapse

When uterus drops into or protrudes out of the vaginal canal, the condition is called uterine prolapse. It can occur to women of any age due to over stretching or weakening of pelvic floor muscles and ligaments. This results in inadequate support and prolapse of the uterus.

Pelvic muscles are overstretched and weakened due to:

  • Multiple pregnancy and childbirth
  • Weakness of supporting ligaments and tissues
  • Loss of oestrogen
  • Constipation causing repeated straining over the years

Symptoms of Uterine Prolapse

Uterine prolapse may be mild with no symptoms or moderate to severe with following symptoms:

  • Sensation of heaviness or pulling in the pelvis
  • Something coming or falling out of vagina
  • Urinary problems, such as urine leakage or urine retention
  • Difficulty with urination and bowel movement
  • Low back pain
  • Loosened vaginal tissue tone
  • Feeling as if you’re sitting on a small ball or as if something is falling out of your vagina
  • Painful sexual intercourse
  • Discomfort while walking

Laparoscopic Uterine Prolapse Repair

In cases of mild uterine prolapse, treatment is generally not required. But if the condition becomes uncomfortable and disrupts the daily activities, treatment is required.

The choice of treatment for uterine prolapse is the laparoscopic uterine suspension. The procedure is performed with an aim to reduce the prolapse and restore as much of normal anatomy as possible.

Laparoscopic Uterine suspension or Hysteropexy

Hysteropexy is performed through keyhole incisions under general anaesthesia. The procedure involves resuspension and uplift of the prolapsed uterus using a strip of synthetic mesh. The mesh is attached to the cervix at one end and to a ligament over the back bone (sacrum) near the spine on the other end. This gently lifts the uterus back up into its normal anatomical position.A vaginal repair is required if the prolapse is affecting front or back of the vagina. Rashmi Hospital provides laparoscopic uterus prolapse treatment in bangalore

Advantages of Hysteropexy over Hysterectomy

  • Preservation of fertility
  • Stronger repair
  • Less risk of recurrent prolapse
  • No vaginal incision
  • Less risk of subsequent sexual problems
  • More than 95% cure rate for uterine support
  • Very less (10-15ml) blood loss
  • Short hospital stay & recovery time

Authored by Dr.Deepak Rao

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Dr. Deepak Rao is a gynaecologist and laparoscopic surgeon. A pioneer of endoscopic surgery (laparascopy and hysteroscopy) in Bangalore

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