Doctor insights on:
Urethral Prolapse Treatment
The canal through which urine exits the bladder, discharging the urine externally. In men, it is about 20-cm long with a membranous, prostatic, bulbar, and pendulous segments ending at the glans penis; it gives passage to the spermatic fluid as well as urine. In the female, the urethra is about 4 cm long & in close relation with the anterior ...Read more
Urethral prolapse: Only occurs in females. Loos like a tiny donut ring at the urethral opening which is located just in front of vaginal opening ...Read more
Several: There are both non-surgical and surgical options. Bladder prolapse can occur by itself or be associated with urinary incontinence, rectal prolapse, uterine prolapse, or in the absence of a uterus, prolapse of the top of the vagina. Non-surgical options include use of a pessary or pelvic floor exercises. Surgical options include use of mesh or graft material to correct the specific anatomic defects. This can be approached laparoscopically, vaginally or a combined approach. ...Read more
Depends on symptoms: Rectal prolapse is most common in older people, and treatment options take into account a person's medical fitness and suitability for operative treatment. Abdominal surgery approaches have higher risks, but lower recurrence rate. Alternatively, resection through the perineum is lower risk, but has a higher recurrence rate. ...Read more
Rectal prolapse: If mild - it can be gently reduced and pushed back in - use a moist washcloth. Stool softeners may help prevent reoccurence. If it continues to prolapse - generally surgery is required to remove the redundant tissue and "tack" the rectum up. Colon and rectal surgeons are probably the best at this type of problem. ...Read more
Surgery is the best:
Option for treating rectal prolapse. Currently one can have an abdominal approach using minimally invasive techniques with 3-4 small scars. Experienced surgeons will offer laparoscopic or robotic surgery as well as approached from the perineum or around the prolapsed rectum.
In general, repairs through the abdomen last longer and are more durable then repairs from the perineum. See attached. ...Read more
Conservative: Most doctors take a concervative approach to mild disc prolapse. This means exercise, rest and non-narcotic pain medications. ...Read more
Stool softeners: Stool softeners and laxatives.Get a more detailed answer ›
What is a prolapsed rectum? Most common reasons why it occurs? Is it reversible? Typical treatment?
Lots of questions!: Prolapsed rectum, or procidentia, is when the rectum turns inside out, like a sleeve, and protrudes through the anal opening. Common causes: constipation, pelvic floor dysfunction. Not "reversible" in adults; may be in kids. Treated with surgery if symptoms warrant or complications occur. Four questions, four answers! ...Read more
I am a fit 66 year old goes to gym4 days week and do 8 classes a week. For years have had anterior prolapse should I treatment. Doesn't bother me.
Doctor: That is a question to be asked by your doctor. ...Read more
Need urogynecologist: This problem generally involves the uterine wall which becomes weak (for example after multiple vaginal deliveries), and there is a dropping of the uterine wall beyond the vagina (almost like turning a sleeve inside out). Usually, there are urination abnormalities invvolved--this is in realm of urology. Uterine problem--gynecology. Here, consider rx options from a uro-gynecology consultation. ...Read more
Prolapse: Prolapse is generally managed surgically. This may be approached vaginally with repairs or abdominally with sacral colpopexy for apical support. In patients who are medically fragile and poor surgical candidates, can be managed with a variety of pessaries. ...Read more
Patient specific: The best surgical treatment is one that is tailored to your specific findings and complaints. One surgery does not fit all patients. There is controversy about newer mesh surgery versus older methods. There is more and more robotic prolapse surgery. The best surgery is one done to your specific needs by a surgeon who does these surgeries often and has experience. ...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
Usually bleeding: Bursting of hemorrhoids is equal to tearing open blood vessels. It may be able to stop on its own or surgery might be needed. If it stops, nothing else is needed. High fiber diet is the key to avoid more complications. Rarely, u can have infection and this may need antibiotics or surgery or both. If there is persistent pain, bleeding, fever/chills etc, u need to call ur doctor. ...Read more