Pelvic organ prolapse occurs when organs like the bladder, uterus, or rectum drop and press against the vagina. It can be highly shocking to you and be patient; there are several ways to treat this condition with and without surgery.
If prolapsed is very severe, then other treatments don’t help enough and surgery is considered. Prolapse surgery can help and improve problems related to prolapse, but it is connected with some risks. Moreover, the womb doesn’t need to be removed because many surgical procedures exist which avoid doing so.
Does prolapsed surgery have pros and cons?
For many people, even the thought of the surgery is a hard decision and going alone through its action. Prolapsed surgery is a big decision, and there must be considered between the patient and the doctor. Both of the parties have the responsibility to weigh down all the possibilities and factors that help decide what the next step needs to be taken.
Types of surgery to treat pelvic organ prolapse:
There are two types of surgery that doctors may suggest to treat pelvic organ prolapse. The first one is closing all the parts of the vagina, and the second is repairing the pelvic floor or organ replacement. Moreover, different factors such as age, future family plans, and current health conditions help to determine which surgery suits best.
Another type of surgery to treat pelvic organ prolapsed is transvaginal prolapsed surgery. In this type of surgery, a mash is used to reinforce the vaginal wall between the prolapsed organs by opening the vagina with incisions and then inserting it in a mesh sheet.
Moreover, many complications might occur and are caused by this surgery, including mesh extrusion, perforation, infection, bleeding, erosion, pain during intercourse, and urinary problems. As the prolapsed pelvic organ is not a life-threatening condition, it is better to search for other options before you go for surgery.
Pros of prolapsed surgery:
Prolapse surgery pros as under:
1) Prolapse surgery requires no pessary:
Reconstructive and obliterative pelvic organ prolapsed surgery eliminate the need for ring pessaries. A pessary is defined as a medical device inserted in the vagina to prevent organs from sinking further down, causing pain and discomfort.
2) Pelvic prolapsed surgery improves the placement of pelvic organs:
Thus, undergoing pelvic prolapsed surgery enhances the standing of pelvic organs. Pelvic organs, in turn, result in the elimination of symptoms that might cause the pelvic organ to prolapse.
3) Pelvic prolapsed surgery is effective:
The repair surgery of the vaginal wall helps to stabilize the affected organs. It also helps to reduce bladder and bowel problems, pain, and feelings of pressure. After the surgery, about 80 to 90 out of every 100 women have no more extended urine leakage or any discomfort.
It is also observed that previously prolapsed organs might slip down again following the initial successful vaginal wall repair surgery. Recent studies have shown that it usually happens within three years in about 38 out of 100 women who undergo operation using their tissue.
Cons of Prolapse surgery:
Cons of pelvic prolapsed surgery are as follows:
1) Highly expensive:
Pelvic prolapsed surgery is not cheap. Surgery usually costs from $6000 up to $9000. This cost does not include the doctor’s additional appointment fees and hospitalization fees. One can also say that not every woman has enough financial freedom to afford the price of pelvic prolapsed surgery.
2) Brings risks and complications:
There is no doubt in saying that all surgeries come up with their risks and complications no matter what is the success rate of skills of the surgeon or surgery. Pelvic prolapsed surgery comes up with many potential risks, including surgical complications such as infections and bleeding. New issues like pelvic pain and urinary incontinence can also be because of pelvic organ prolapsed surgery.
Meanwhile, undergoing prolapsed surgery does not guarantee long-term effectiveness after surgery.
3) Prolapse surgery takes a long recovery time:
Just because the surgery went well does not mean that you will no longer feel pain or discomfort. Undergoing surgery also requires hospitalization. You will also take several weeks to recover after going through surgery properly.
4) Prolapse surgery comes up with the loss of sexual function:
Most patients who undergo pelvic prolapsed surgery have no desire to preserve their sexual function. No doubt, prolapsed surgery requires the closure of all or part of the vaginal.
This also means that women who wish to bear a future child are not suitable for this surgery.
5) Potential side effects of pelvic prolapsed surgery:
In less than 1 out of every 100 women who go through pelvic prolapsed surgery, the bladder and bowel are injured.
Women infections are also possible, and in different forms of abdominal surgery, scar tissue may form. It also causes different parts of abdominal tissue to stick to each other.
This leads to digestive problems, which are called adhesion. If you use synthetic mesh, it also carries some risks.
The primary goal of pelvic prolapsed surgery:
The primary goal is to provide care with meaningful patient impact, and it also reduces symptoms and improved HORL level. Moreover, patient-reported outcomes are considered more important to compare the success of different pelvic prolapsed surgeries. This is because the most vital relationship with the patient improves the overall assessment of improvement, treatment process and brings progress in symptoms bother and HRQOl level.
Don’t let pelvic prolapsed surgery control your life; feel free and enjoy your life after going through this surgery. Pelvic organ prolapsed surgery also brings the restoration of anatomic support without deleterious effects on visceral and sexual functions. The above-listed pros and cons of prolapsed surgery help you to understand it well.
Different results have shown that native tissue repair of pelvic prolapsed surgery improves the overall body image and patient’s symptoms. It also maintains the patient condition. After six months follows up, every seven out of 10 patients have better P- QOL, and 9 out of 10 patients have better conditions than preoperative situations.