Genital prolapse cure

Genital prolapse (organ descent) affects many women, especially after menopause

Cystocele : Organ descent

Genital prolapse cure | Dr Velemir, chirurgien gynécologue obstétricien à Nice

Synthetic nets

What is a genital prolapse? What are the symptoms?

Genital prolapse (organ descent) affects many women, especially after menopause. It is most often manifested by the perception of a heaviness type discomfort or a ball at intimate level.

Genital prolapse may be associated with other disorders:

Difficulty urinating

Urgent need to urinate

Urinary leakage

Difficulty emptying the bladder

Difficulties passing stools

Discomfort or pain during sex

This condition is related to a lack of support of the pelvic organs (bladder, vagina, uterus, rectum) by natural fascias (resistant elastic membranes) supposed to support them. These fascias become loose and cause ptosis (lowering) of pelvic organs through the vagina to the outside.

There are :

The cystocele : it is the bladder which “falls” through the vagina

The hysterocele : it is the ptosis of the uterus

The rectocele: it is the rectum that makes an hernia through the vagina

What are the therapeutic options?

Perineal rehabilitation can improve urinary leakage but does not give any results on the genital prolapse. If there is no treatment, prolapse tends to increase with time. The only real treatment of prolapse is surgery.

What are the main principles of the surgical treatment?

Conventional repair techniques schematically consist of:

Reattaching the uterus when it has lowered or even removing it if the ligaments that hold it are too loose.

Retighten the fascias and tissues that support the bladder and rectum, stitching them up.

These techniques are done by natural means.

However, when they are already damaged, tissues tend to slacken again after a few months or years following the operation, and the problem may recur. This is why more often modern techniques use synthetic nets also called prostheses to replace the damaged fascia and play the role of strong hammock to support pelvic organs. These nets are placed vaginally or laparoscopically.