Pelvic support surgery, also known as pelvic floor surgery or pelvic organ prolapse surgery, is a medical procedure performed to address issues related to the pelvic floor. The pelvic floor is a group of muscles, ligaments, and tissues that provide support for the pelvic organs, including the bladder, uterus, and rectum. When the pelvic floor weakens or becomes damaged, it can lead to various pelvic health problems, including pelvic organ prolapse.
Pelvic organ prolapse occurs when one or more of the pelvic organs descend or “prolapse” into the vaginal canal or rectum due to weakened pelvic floor muscles and connective tissues. This can result in symptoms such as urinary incontinence, vaginal bulging or discomfort, and bowel dysfunction.
Pelvic support surgery is performed to repair and restore the normal position of these prolapsed pelvic organs. The specific surgical procedure and approach may vary depending on the type and severity of the pelvic organ prolapse, as well as the patient’s overall health and preferences. Some common types of pelvic support surgery include:
Vaginal Vault Suspension: This procedure involves lifting and securing the prolapsed vaginal vault (top part of the vagina) to its normal position using sutures or mesh.
Sacrocolpopexy: During sacrocolpopexy, a synthetic mesh is used to attach the vaginal apex to the sacrum (the lower part of the spine). This procedure provides strong and durable support for the vaginal vault.
Vaginal Wall Repair: In some cases, individual vaginal walls may be repaired or tightened to address specific areas of prolapse.
Pelvic support surgery can often be performed through minimally invasive techniques, such as laparoscopy or robotic-assisted surgery, which typically result in shorter recovery times and less post-operative discomfort compared to traditional open surgery.
It’s essential for individuals experiencing symptoms of pelvic organ prolapse, such as pelvic pressure, urinary incontinence, or bowel dysfunction, to consult with a gynecologist or urogynecologist to determine the most appropriate treatment plan. The choice of surgery, if needed, will depend on the specific diagnosis and the patient’s individual circumstances. Like any surgical procedure, pelvic support surgery carries risks and benefits, and the decision should be made in consultation with Dr. Jeffrey Kotzen.