Pelvic Organ Prolapse Surgery Success Rate: How many patients actually get better after their surgery?
The success rate of pelvic organ prolapse surgery depends upon several factors. Some of these are the patient’s age, health status, previous medical history, and other medical conditions such as diabetes or heart disease. There are also some surgical procedures which may have a higher risk of failure than others. For example, if the patient suffers from severe obesity, then the chances of complications increase significantly. In such cases, the surgical repair may not be able to provide a permanent solution. The success rate is typically highest for women who are at a more ideal weight and do not suffer from any major co-morbidities. If you are thinking about undergoing prolapse surgery, it is important that you discuss all of your concerns with your surgeon beforehand. This will allow you to make an informed decision as to whether or not surgery is the best option for you.
Pelvic Organ Prolapse Stages: What are the different types of prolapse?
There are several different types of pelvic organ prolapse. These can affect different parts of the female pelvic region and can sometimes bleed or produce mucous discharge. Types of prolapse include:
Cystocele: A cystocele, also known as a slipped bladder, occurs when the bladder protrudes into the vaginal canal. It is the most common type of prolapse and can typically be repaired via vaginal surgery.
Rectocele: A rectocele occurs when the rectum protrudes or “falls” into the vaginal canal. This may cause difficulty with passing stool as well as pain or discomfort.
Enterocele: An enterocele occurs when the small bowel falls from its normal position into the vaginal canal. This may cause pressure, pain, or discomfort and may also inhibit bowel movements.
Urethrocele: A urethrocele occurs when the urethra, the tube that allows urine to exit the bladder, falls down into the vaginal canal. This can cause difficulty with urination and pain.
Vaginal Vault Prolapse: A vaginal vault prolapse occurs when the top part of the vaginal canal, also known as the vaginal vault, falls down. This type of prolapse may cause difficulty with urination and trouble with sexual activity.
Pelvic Organ Prolapse Symptoms: What are the signs and symptoms?
There are a number of different signs and symptoms of pelvic organ prolapse. Not all women will experience all of these, however. The most common ones include:
1. Having to push on the vaginal walls in order to stop a urine stream.
2. A visible bulge in the vaginal area, which may look like a hernia.
3. A fluid discharge from the vaginal area.
4. Genital pain, especially during sexual activity.
5. Arousal difficulties or inability to become aroused.
6. Difficult or painful bowel movements.
7. Difficulty with urination, such as a slow urine stream or difficulty starting the urine stream.
8. Pain in the lower back, which may be caused by straining to hold in stool or urine.
9. Pain during sexual activity.
10. Tissue tears or bleeding may sometimes occur during vaginal penetration or bowel movements.
Who Gets Prolapse?
Prolapse is most common in women who have given birth. The strain of pushing the baby through the vaginal canal can place tremendous force on the pelvic organs. Women who have never been pregnant may also suffer from prolapse, however, especially after menopause.
Prolapse is also more common in women who are obese or who have a history of urinary tract infections. It can be caused by injury to the vaginal area, such as forceful vaginal penetration or rough horseplay. It can also be caused by straining to pass large stool.
Men can suffer from prolapse as well, although it is more common in women. It is called genital prolapse and may be caused by injury or straining to have a bowel movement.
Genital Prolapse: What is it?
Genital prolapse happens when the pelvic organs, namely the bladder or intestines, protrude into or out of the vaginal opening. This may cause a bulge in the vaginal area.
Genital prolapse is fairly uncommon in men, but is fairly common in women who have had multiple children. Childbirth can place a tremendous amount of strain on the vaginal canal, pushing the bladder or rectum out of place.
Genital prolapse is more common in women than men due to the design of the female genitalia. If you have any questions about genital prolapse, be sure to consult your physician.
Men can suffer from genital prolapse as well. This may be caused by injury to the perineum, the area between the scrotum and the rectum in men.
Sources & references used in this article:
- Prediction model and prognostic index to estimate clinically relevant pelvic organ prolapse in a general female population (MCP Slieker-ten Hove, AL Pool-Goudzwaard… – International …, 2009 – Springer)
- Operation for pelvic organ prolapse: a follow-up study (G Tegerstedt, M Hammarström – Acta obstetricia et gynecologica …, 2004 – Taylor & Francis)
- TVT-O for the treatment of pure urodynamic stress incontinence: efficacy, adverse effects, and prognostic factors at 5-year follow-up (M Serati, R Bauer, JN Cornu, E Cattoni, A Braga… – European urology, 2013 – Elsevier)