Pelvic Reconstruction

Pelvic Reconstruction Surgery

Pelvic reconstruction refers to surgical treatment aimed at restoring the normal support and function of pelvic organs when pelvic floor weakness or pelvic organ prolapse has developed.

Pelvic floor problems can affect the bladder, uterus, vagina, bowel and surrounding supporting tissues. At Divine Care, women with symptoms related to pelvic organ prolapse and pelvic floor disorders can receive individualized evaluation and management.

What Is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when one or more pelvic organs move downward because the muscles and supporting tissues of the pelvic floor have weakened.

Depending on the affected organ, prolapse may involve:

  • Uterine prolapse
  • Bladder prolapse (cystocele)
  • Rectal prolapse into the vaginal wall (rectocele)
  • Vaginal vault or apical prolapse
  • Other pelvic floor support defects

Common Symptoms

Women with pelvic organ prolapse may experience:

  • A feeling of pressure or heaviness in the pelvis
  • A bulge or sensation of something coming down through the vagina
  • Difficulty emptying the bladder
  • Urine leakage
  • Difficulty with bowel movements
  • Pelvic discomfort or lower back discomfort
  • Discomfort during sexual intercourse

Why Does Pelvic Prolapse Occur?

Weakening of pelvic support can be associated with several factors, including:

  • Pregnancy and vaginal childbirth
  • Multiple pregnancies
  • Age-related changes
  • Menopause-related tissue changes
  • Chronic constipation or straining
  • Persistent coughing
  • Previous pelvic surgery
  • Weakness of pelvic floor tissues

Diagnosis and Assessment

A detailed assessment is important before deciding on treatment. Evaluation may include:

  • Detailed medical and obstetric history
  • Pelvic examination
  • Assessment of bladder and bowel symptoms
  • Evaluation of pelvic floor function
  • Urine testing when required
  • Imaging or additional investigations when clinically indicated

Treatment Options

Treatment depends on the severity of prolapse, symptoms, overall health and individual preferences.

Management may include:

  • Pelvic floor muscle exercises
  • Lifestyle modifications
  • Management of constipation and chronic coughing
  • Vaginal pessary in appropriate patients
  • Individualized pelvic floor rehabilitation
  • Surgical pelvic reconstruction when indicated

Pelvic Reconstruction Surgery

When symptoms are significant or conservative treatment is not sufficient, reconstructive surgery may be considered. The type of procedure depends on the location and severity of the pelvic support defect.

The objective is to restore pelvic support while addressing associated urinary, vaginal or bowel symptoms where appropriate.

When Should You Seek Treatment?

Pelvic pressure, a vaginal bulge, urinary leakage or difficulty emptying the bladder or bowel should not be ignored. A urogynecological assessment can help determine the cause and identify suitable treatment options.

Need a Consultation?

Schedule your consultation with Dr. Gursimran Kaur today.

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