Vaginal Prolapse Surgery and Biomesh Patch
Vaginal prolapse surgery and biomesh patch is when the wall between a woman's bladder and her vagina weakens allowing the bladder to droop into the vagina is called cystocele and requires cystocele surgery. This condition causes discomfort and problems with emptying the bladder.
Symptoms of a cystocele may include the following:
• If the urethra - the tube through which urine drains from the bladder - is pulled out of position, you can leak urine when you cough, laugh, or lift a heavy object.
• Your bladder doesn't empty completely after you urinate. The urine that remains in your bladder can become infected causing frequent and painful urination.
• Bulging and pressure sensations in the vagina.
Cystocele can be treated with an anterior repair. During surgery your surgeon reaches your pelvic organs through the vagina or the abdomen. An incision may be made in the vaginal wall. If incisions are made on the abdomen, they can be vertical or transverse. The prolapsed bladder is moved back into its normal position. Stitches are placed in the tissue between the bladder and the vagina. In some cases, another type of surgery is done to correct weakness in the front wall of the vagina. The vagina is attached to strong tissues in the side wall of the pelvis.
Causes
• Muscle straining while giving birth
• Heavy lifting
• Repeated straining during bowel movements
• Menopause - estrogen helps to keep the muscles around the vagina strong. When your body stops producing estrogen, the muscles around the vagina and bladder can become weak.
Risks
• There are some risks when you have general anesthesia.
• The regional anesthetic may not numb the area quite enough and you may feel some minor discomfort.
• Your bladder could be punctured.
• You may develop bleeding and infection
You should discuss all risks with your surgeon before your surgery.
Sometimes, a pessary - a device that is inserted into the vagina to support the protruding bladder wall -- is recommended. Pessaries are typically made of rubber or silicone and resemble a contraceptive diaphragm. The most common pessaries are shaped like a ring or doughnut in a variety of sizes. The pessary must be removed regularly for cleaning, which will help prevent vaginal discharge and pressure sores.
Hormone replacement therapy
Hormone replacement therapy (HRT) has been used to try to improve the tone and quality of the pelvic muscles and supportive tissues for cystoceles that appear after menopause.
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