Pelvic Reconstruction

What is Pelvic Reconstruction?

Pelvic reconstruction is one of the surgical procedures which helps to restore the integrity and strength of the pelvic floor. This procedure helps to treat a condition when the ligaments and muscles of the pelvic floor are damaged or weak. This happens usually due to childbirth. Doctors perform this by addressing each one of the prolapsing organs, rebuilding the layers for supporting or removing the organ that has fallen. This procedure also treats pelvic organ prolapse, chronic disease, heavy lifting, or surgery.

Everything You Need to Know About Pelvic Reconstruction

Procedure | Treatment | What To Expect | Recovery | Cost

How is a pelvic reconstruction done?

The procedure of a pelvic reconstruction takes place inside the vagina. An anterior pelvic reconstruction by an incision made along the mucosa (vaginal skin) that is overlying the bladder that is not at the appropriate place. Insertion of the catheter is made into the urethra enabling the vaginal mucosa to open, and the bladder wall to reveal.

There are many ways by which an anterior repair takes place. One of the most common methods is an incision along the front wall of the vagina which starts near the entrance and finishes almost near the top of the vagina. Surgeons use absorbable stitches to repair the weakened layers.

It usually takes 30 – 60 minutes to carry out this surgery. It would take around 1 – 2 hours in total if a vaginal hysterectomy takes place with pelvic reconstruction.

Pelvic reconstruction treatment

There are two kinds of pelvic reconstruction treatment. They are:

1. Non-surgical treatment

A pessary is the first non-surgical treatment often tried. It is inserted into the vagina to give support to the pelvic organs and control urine leakage.

Doctors also advise bringing changes in lifestyle and diet. Some of the tips are:

• Ensure A proper amount of fluid intake.
• Add more fibrous food to your meals. Add fruits, green vegetables, or salads.
• Try to maintain a healthy BMI. Keep your weight under control.

2. Surgical treatment

If the problems are into advanced stages, usually surgical treatments are recommended. There are two kinds of surgeries performed depending upon your medical condition & other clinical parameters.

(i) Obliterative surgery

This surgery closes or narrows the vagina. It helps to provide support to the prolapsed organs. After this procedure is done, there will be no chance of sexual intercourse.

(ii) Reconstructive surgery

The original positions of the organs are restored by reconstructive surgery. This procedure is done through an incision in the vagina. The types of reconstructive surgery include:

• Native tissue repair.
• Colporrhalphy (used to treat prolapse of the front and back wall of the vagina).
• Sacrocolpopexy ( used to treat enterocele or vaginal vault prolapse).
• Sacrohysteropexy ( when a woman does not want a hysterectomy but wants to treat uterine prolapse).
• Surgery using vaginally placed mesh ( used to treat all types of prolapse).

What to expect after surgery

After the surgery is done expect some discharge and spotting from the vagina for about six weeks. Bleeding reduces over time. In case bleeding increases, you need to call your doctor immediately. Stitches that are dissolving, are represented by yellowish-white and watery vaginal discharge.

Recovery time for pelvic reconstructive surgery

The recovery time for pelvic reconstructive surgery depends upon the circumstances and condition of the patient. Usually, it takes about three weeks after the surgery to return to full activity. The patient should refrain from sexual activity for about three to four weeks after the surgery. It is because if there is a vaginal incision, the patient would have painful intercourse. You are advised to avoid lifting, vigorous exercise, and straining for the first few weeks.

Cost of pelvic reconstruction

The cost of pelvic reconstruction ranges from Rs. 3,50,000 to Rs, 5,55,000.

If you have pelvic organ prolapse symptoms and they are interfering in your daily activities you need immediate treatment. Doctors will suggest non-surgical options first and, if needed surgical options later on.