There are two types of pelvic organ prolapsed. The first type of prolapsed are called as ladder prolapsed and the other one is called urethral prolapse.
The first type of cystocele happens when the wall of a lady’s bladder presses against and at the same time moves the wall of woman’s private part.
Urethrocele is a condition in which the tissue surrounding the urethra sags downward into woman’s private part i.e vagina.
However, a doctor can easily diagnose the problem by mere physical examination. These both types of problems are occurring mostly at the time baby delivery. These problems are concerned with the mother’s birth canal i.e. vagina.
It has been widely observed that to some degree each woman has bladder and urethral prolapsed. There are very few, therefore, who show some symptoms of it. For some women these symptoms never appear or if they appear they took so much time.
Many patients have reported that when symptoms begin to show themselves, first of all they find it hard to urinate. In some women, even involuntary release of urine is also observed. There are some women who always say that they are having pain during sexual intercourse. In order to address these issues there is no need to go through surgery unless these symptoms begin to lead a life swiftly.
If there is no other health problem that may require an abdominal incision; then bladder along with urethra can be repaired through an incision which is worked out on the wall of the vagina. The purpose of the surgery is to pull together issues that have gone loose or torn into the area of prolapsed in the urethra. This helps to strengthen the wall of the vagina. This also makes sure that prolapsed won’t occur again.
There are many surgical procedures available which are aimed to correct the stress urinary incontinence or trouble. The purpose of these surgeries is to uplift urethra or bladder back to normal position.
What happens after surgery?
Normally doctors use general anesthesia when it comes to repair of bladder and urethra. After surgery, it is normal that the doctor will admit you in hospital for a duration of 1 to 2 days. After the completion of two days, then you will be allowed to go home with a catheter. If you are a lady who has a day job, then you will have to take leave for almost six weeks. During this period of six weeks, it is strongly advised that you will refrain from any activity which is intense. Never lift anything which is heavy in weight. You are also not allowed to stand for a long period of time after you have gone through surgery.
You also have to be very careful for any activity which can push you back into where you were before surgery. You have to give yourself ample rest and leave everything which requires physical activity.
Another important thing that you have to keep in mind that you don’t have to go for sexual intercourse during this period of surgical recovery. However, after a period of six weeks you can enjoy your sexual life. As far as urinary function is concerned, you will need around two to six weeks to achieve normal routine – without pain.
Why Surgery is done?
The option of surgery becomes imminent when a patient can’t live with these symptoms anymore. To overcome the existing problems repair of the bladder becomes necessary to do. During the symptoms, it has been observed that there is a lot of pressure on the vaginal wall that causes due to movement of organs.
Other factors which raise the need of surgery is difficulty in urination. One has to go through from surgery if making love becomes difficult due to the pressure on the vaginal wall.
Surgery will also be done if the patient can’t control her urination. Involuntary urination is a thing which nobody wants. That’s why surgery is the only solution.
Does surgery really work well?
Unfortunately, there is not much data available to ascertain the efficacy of going through the surgery. However, according to experts the rate of recurrence is 20%. It means that 20 women out of 100 will have to repeat the process of surgery to get rid of vaginal problems.