Pelvic reconstructive surgery is a surgical treatment used to repair the Organs and Tissues of the pelvic region of the body. It may be necessary to have it done to repair organ damage that has happened as a result of a variety of factors, including illness and The adverse effects of prior surgery. It may also be used to treat patients who have incurred damage to their pelvic organs as a result of cancer treatment. 

Vaginoplasty, cystocele repair, and Rectocele repair are just a few of the frequent forms of pelvic reconstruction surgery performed. In addition, labiaplasty is one of the various types of pelvic reconstructive procedures that surgeons do.

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What are the most common pelvic floor disorders?

There is a range of issues that might arise concerning the pelvic floor. The most often seen are as follows:

Pelvic organ prolapse: During pregnancy, a “prolapse” happens when the pelvic muscles and tissue grow weak and can’t support the organs. Uterine prolapse occurs when the uterus presses down on the vagina, causing it to invert or even protrude through the vaginal entrance. If you have vaginal prolapse, the top of your vagina loses its support and fall through the entrance of your vaginal canal.

Some of the signs and Symptoms of pelvic organ prolapse are as follows:

  • A sensation of heaviness or fullness, or something is coming out of the vaginal opening.
  • Some women may experience a tugging or painful sensation in the lower abdomen or pelvic, as well as a bulge.

Prolapse may also result in a kinking of the urethra, making it more difficult for a woman to fully empty her bladder and increasing the likelihood of urinary tract infections.

Urinary incontinence: This may happen if the bladder falls into the vaginal opening too far. Because the bladder is not in the appropriate position, one of the most common symptoms of urinary incontinence is pee spilling out of the woman’s body without her knowledge or consent. The urgency to pee, frequent urination and painful urination are other symptoms that might occur.

Anal incontinence: This may happen when the rectum bulges into or out of the vaginal opening, making it difficult to regulate one’s bowel movements. Anal sphincter dysfunction, or injury to the ring of muscles that closes the anus, may also result in this condition occurring.

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How painful is pelvic floor surgery?

Pelvic area discomfort is a typical complaint among women. It may be caused by several illnesses ranging from a bladder infection to endometriosis, among others. Pelvic pain that radiates to the lower back or abdomen, difficulties peeing with burning feelings during urination, an urgent need to urinate, and pressure or heaviness in the urethra and womb are all possible symptoms of this condition.

Does pelvic floor surgery make you tighter?

Tight pelvic floor muscles are referred to as hypertonic muscles, which refers to the fact that they are excessively tight. Hypertonic muscles can inhibit contraction, which may benefit urine and rectal continence, movement and mobility. However, if these muscles become too tight, they might result in pain, uneasiness, and incontinence.

How long does pelvic reconstruction last?

According to the report, women who have had pelvic floor surgery had a 5 to 15% chance of experiencing a failure. The result is usually a partial failure that does not need the administration of any further treatments or medications or the need for a surgical procedure that is far less severe than the initial one. Patients who closely adhere to the suggestions of a professional have the highest chance of achieving long-term success with their treatment.

How successful is pelvic floor surgery?

In most cases, surgery to treat a uterine prolapse is a success. POP surgery has a documented success rate of 80–95 percent in the majority of patients.

Sacrohysteropexy (fixing prolapsed uterus) and sacrocolpopexy (fixing prolapsed vaginal vault) have both shown an 80-90% success rate for sacrospinous ligament fixation (surgery to correct bulging of the vagina). In addition, the uterosacral ligament suspension (surgery to restore support to the top of the vagina) also has an 80-90% success rate.

Conclusion

Stress incontinence, fecal and rectal incontinence, an unceasing desire to urinate, and discomfort when emptying your bladder are all possible indications of weak pelvic floor muscles. If you have weak pelvic floor muscles, visit a doctor. When you have a weak pelvic floor muscle, you may have trouble with bowel movements and sexual intercourse, to name a few symptoms. The severity of these symptoms may develop over time, eventually becoming severe if left untreated.

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Dr. Jay Mehta Fertility and IVF Specialist In Mumbai

Dr. Jay Mehta

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Dr. Jay Mehta is the Scientific Director of Shree IVF Clinic. He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology.

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