Doctor insights on:
Best Uterine Prolapse Program
Probably not ...: Kegel exercise, of no doubt, will strengthen the muscle power around the anus and pelvic floor of men or women. But its preventive effect has not been studied for teenagers, as I have known. Remember everything happening to us always results from multiple factors although some factors may be identified as precipitating ones. Meanwhile, practice healthy lifestyle and avoid overindulgence... ...Read more
It varies.: The most common symptoms are a mass bulging into the vaginal opening, pelvic pressure or discomfort, and difficulty with bowel or bladder function. Many women can feel something bulging through the vaginal opening. To check, place fingers at the vaginal opening while seated on a toilet and bear down as if you are trying to have a bowel movement. ...Read moreSee 1 more doctor answer
Try to find an experienced doctor treating uterus fibroid (submucosal) with focused ultrasound. one fibroid about 4cmx4cm submucosal type I. ?
I have cystocele(gr1), rectocele(gr3) and rectal prolapse thru anus. What procedure is best method and what is best specialist to perform op? Thanks.
To urologist / uro-.: Go to experienced urologist or uro-gynecologist for evaluation and surgical correction with modern available concept and procedures. Remember: Corrective surgery is not to cure, but apply what your body/tissue can do so to put together for better anatomical alignment and functional restoration. And aging will still weaken tissues leading to recurrence. So, be realistic although great improving... ...Read more
Kegel: Kegel exercises may help prevent theprogression of early stage of uterine prolapse. This exercise involves contracting and relaxing the muscles that surround the vagina and urethra. It is the same muscle you would use to stop the flow of urine while you are going to the bathroom. It is important to do this correctly because some just tighten their abdominal muscles rather than the pelvic muscle. ...Read more
Good evening, is the mechanical traction benefit for cervical or lumer disc prolapse? What's the best physiotherapy technique for disc prolapse.Thanks
Can kegel exercises reverse a bladder and bowel prolapse - mild to moderate caused by pregnancy? Will stopping breastfeeding help?
Here are some ...: Everything happening in your pelvis is not uncommon in few women after childbirths and could not be cured but managed with procedures after balancing the equation between medical necessity and professional possibilities. Pelvic floor muscle exercise (Kegel's) wouldn't reverse but may ease the pace of worseing & breastfeeding wouldn't help pelvic floor muscle weakness. The culprit is childbirth &.. ...Read moreSee 1 more doctor answer
Ultrasound dx: An ultrasound examination is the test that is the most operator-dependent exam in medicine. It usually is not performed in the ER. MVP is usually a benign condition but mitral stenosis can be very serious. I would speak to a cardiologist about this. A good one can pick these conditions up by just listening with a stethoscope. ...Read moreSee 1 more doctor answer
Basic measures: If you are a smoker, avoid smoking. If your prolapse is significant, your obgyn may choose to give you vaginal estrogen to rejuvenate the vaginal lining. Eat healthy, sleep well It's a fairly straightforward surgery in the right hands. Best Wishes and speedy recovery . Dr M ...Read more
How do you choose the best route for hysterectomy with a large cystocele? Do you always do cystometrics pre-op? Tvh with ant rep? Sacral colpo? Burch?
TVH/A;P is fine.: Depends of the surgeons comfort and experience with the different techniques. Urodynamics help to evaluate for any sui that my be masked by the cystocele. Sacrocolpopexy is a better choice if the patient has an apical defect and would make more sense to then do some type of laparoscopic hyst. Burch is still a good procedure for sui and also allows laparoscopic access. ...Read moreSee 1 more doctor answer
I need to have robotic surgery for prolapse - (urinary, bowel, vaginal ) what is the success rate?
Very: Surgery for pelvic prolapse done by a well trained specialist has a high degree of success and a somewhat predictable rate of long term failure or recurrence. The key is good training and ongoing volume and surgery chosen that is applicable to the patient's specific prolapse problem(s). ...Read moreSee 1 more doctor answer
Grade 2 cystocele and rectocele grade 1-2 uterine prolapse. No sensation of heaviness etc would you repair while doing sling for stress incontenence?
Probable not: If you are currently asymptomatic, i would probably not recommend repairing the cystocele or rectocele providing they are not causing any issues. That said, a number of factors go into determining whether to have surgery or not. I would suggest you discuss your options with your physician and follow their recommendation. ...Read moreSee 5 more doctor answers
40yo endo, pcos, ulcerative c. childbirth via c-section, 2 surgeries to remove endo from rectus muscle. Many meds over 15y. Hysterectomy pro and con?
Complicated Surgery: Your history of surgeries makes me worry that another surgery for you might be difficult if you have a physical exam that shows a uterus that's fairly stuck in the pelvis. If you haven't tried medical methods of care for endometriosis, I would do that first. Consider continuous pills, Depo, Lupron, (leuprolide) etc. ...Read more
Yes: If you explain that is part of your goal, usually the gyn will avoid this though so as not to cause problems with painful intercourse. Instead they will build up the support at the opening which in effect narrows the opening, making things more snug. See a gyn with a lot of reconstructive experience though like a urogynecologist. ...Read more
Should pt/pelvic floor training always be tried before doing surgery for grade 2 prolapses and stress incontinence?
Not necessarily: Pelvic muscle training using biofeedback and electrical stimulation therapy can be a very effective treatment for incontinence. It is not likely to resolve your prolapse issues but may decrease the symptoms related to prolapse. The final decision to try this treatment should be based on your specific symptoms and a discussion of pros and cons with your surgeon. You may avoid surgery altogether. ...Read moreSee 3 more doctor answers
This should be: something that your physician/ obstetrician should be able to handle. Let your provider know about your concerns. Take care. ...Read more
Sometimes: It is not always painful when the uterus falls down or out. In fact, it is not usually painful. It can be though when it is accompanied by the bowels in a herniation of sorts called an enterocele. Also, it can become raw and infected as it dries and remains exposed to the elements, thus causing pain. If it pinches the urethra shut it can cause significant pain and problems. ...Read moreSee 2 more doctor answers
Yes: Although vaginal childbirth is a big risk factor for prolapse, there are other risk factors such as chronic straining from constipation, chronic coughing, or heavy work or anything that increases intra-abdominal pressure. There may be genetic predisposition also. ...Read moreSee 1 more doctor answer
Rarely: Severe prolapse can cause partial urinary retention, or inability to completely empty the bladder. This can silently damage the kidneys, causing renal failure and even death of a kidney. This happens only with neglected severe prolapse, usually in an elderly woman. ...Read moreSee 2 more doctor answers
You can feel it: If your uterus is falling out(prolapse, you can typically feel a hard substance like the end of your nose, low down in your vagina or almost falling out. This is the neck of the womb or cervix. Prolapse is also often accompanied by bladder and/or bowel problems, and often with low backache. Intercourse may also be difficult or painful. ...Read more
POP symptoms: Pressure and fullness in the vaginal area are most common, especially after standing for long periods or with heavy work/lifting. Sometimes pain with intercourse occurs also. Most women do not realize they have an issue until they see or feel a bulge, usually with wiping after urination. ...Read moreSee 3 more doctor answers
Depends on problem: Meshes have been used intravaginally since development of the sling by ulmstead in the late 90's. Current fda warnings are for vaginally placed mesh reconstruction kits. If you have mesh and are having no problems, nothing to do. A good resource for a good doctor to help would be www.Sgsonline.Org. These guys are well trained and are scattered across the country. ...Read moreSee 3 more doctor answers
Careful !: Depending on the extent of the repiner and the use of mesh material. Your surgeon would have discussed this with you. As a general rule for laparoscopic cases 3 weeks of no heavy lifting (anything that could make you grunt). ...Read more
Kegel's: Doing kegel, or pelvic floor exercises, can help to strengthen the muscles of the pelvic floor and may help with the symptoms of prolapse. However, if the prolapse is severe, other treatments may be necessary. One option is to be fitted by your doctor with a device called a pessary, there are also surgical options to correct the prolapse. ...Read more
Limited choices: 3 options with prolapse: live with it, wear a pessary, or surgical correction. Ways to help symptoms but not reverse condition: kegel exercises, avoid constipation & unnecessary heavy lifting, maintain normal weight. In addition, avoid smoking as it weakens collagen- important for ligament strength. Usually once prolapse pushes through vaginal opening, it starts to worsen at a faster pace. ...Read moreSee 2 more doctor answers
I push to get my vaginal dc out sometimes very hard.Can it cause vaginal or uterine prolapse?Worried, virgin and handicapped.Plz answer.Thanks
I push and get my vaginal dc out sometimes very hard.Can it cause vaginal or uterine prolapse?Answer, really worried.M virgin and handicapped.
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