Prolapse Repair Without Mesh

About Prolapse Repair Without Mesh

Prolapse repair surgery restores dropped pelvic organs (such as the bladder, uterus, or vagina) back into their normal position and reinforces the support tissues so they stay in place. For many years, it was standard to use mesh for this repair. In modern surgical facilities such as ours, this is no longer the norm.

What causes Pelvic Organ Prolapse?

Many different things can contribute to pelvic organ prolapse, but most often the cause is vaginal childbirth, aging, menopause, obesity, or traumatic injury. 

What are the symptoms of Pelvic Organ Prolapse?

For women experiencing pelvic organ prolapse, many find the quality of their life has diminished. A prolapse can contribute to urinary leakage, fecal seepage, a weak bladder, painful sex, inability to have vaginal intercourse, and pelvic pain. We will work with you to provide treatment that meets your individual needs.

Are there different kinds of  Pelvic Organ Prolapse?

Yes. We typically see 5 different kinds:

• Cystocele occurs when the vaginal wall weakens and allows the bladder to herniate into the vagina. This condition can often cause stress incontinence.
• Enterocele is a condition that occurs when the small bowel presses against or herniates into the vagina.
• Rectocele occurs when the back of the vaginal wall weakens and the rectum presses against or prolapses into the vagina. This condition may create a bulge that is more noticeable during a bowel movement.
• Uterine prolapse occurs when the uterus drops into the vaginal canal. There are three degrees of prolapse:
  
  1. First-degree uterine prolapse - where the bottom portion of the uterus enters the vaginal canal
  2. Second-degree uterine prolapse - where the uterus enters the lower portion of the vagina
  3. Third-degree uterine prolapse - where the uterus protrudes through the vaginal opening
• Vaginal vault prolapse occurs when the upper portion of the vagina drops toward the vaginal opening.

‍Can Pelvic Organ Prolapse be repaired?

With rare exception, the answer is yes.

What procedure is used for Prolapse Repair?

Our first goal is to use a minimally invasive procedure if at all possible to reduce pain and encourage a speedier healing. The exact type of surgery will be determined by your condition and desired outcome. Dr. Ashford is exceptionally good at explaining the variables, what your choices are and why.

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