Hysterectomy And Pelvic Floor Repair Surgery

Of course women who undergo pelvic organ prolapse surgery represent only a subset of those who suffer symptoms of bladder and or bowel dysfunction.

Hysterectomy and pelvic floor repair surgery.

Pelvic organ prolapse is a common problem that when severe often is managed surgically. In certain circumstances a simultaneous hysterectomy bladder suspension or rectocele repair may be required all of which can be accomplished through a vaginal approach. You can expect to stay in the hospital 1 3 day s. It is normal to get a creamy brownish or bloody discharge for 4 6 weeks after surgery.

It is safe to re start pelvic floor exercises when you feel ready usually 1 to 2 weeks after surgery. According to this large swedish study vaginal hysterectomy had a higher risk of surgery for pelvic organ prolapse or stress urinary incontinence than other modes of hysterectomy. Prolapse or bladder incontinence so pelvic floor exercises and pelvic floor friendly exercise are important. Long term there may be an increased risk of pelvic floor problems i e.

1 a substantial proportion of women who undergo surgery for prolapse up to 60 in one study 2 have had pelvic surgery previously ie either a pelvic floor repair procedure with or without hysterectomy 29 a hysterectomy. Abdominal hysterectomy recovery time. Do not try to exercise to gain fitness e g. The additional surgery is called an anterior and or posterior repair.

When the pelvic floor is damaged by childbirth and further affected by hormone changes and gravity it may become necessary to perform reconstructive surgery of the vagina. Michelle kenway pelvic floor physiotherapist after vagin al surgery hysterectomy prolapse and or bladder repair pelvic floor exercises are important for pelvic floor recovery and long term pelvic floor support. For at least 6 weeks following surgery. The supporting ligaments of the womb will be attached to the top of the vagina after the hysterectomy to prevent it from happening again.

All stitches are dissolvable. The repair operation tightens the wall of the vagina and the pelvic floor muscles. As part of the correction of prolapse and incontinence the overall health of the vaginal support structures must be assessed and corrected. This is due to the presence of stitches in the vagina.

By jogging power walking aerobics classes etc. The goal of laparoscopic colposuspension is to resuspend the vagina and associated pelvic organs through the key hole incisions. It is now thought that pelvic floor exercises may help to prevent future prolapse and pelvic floor problems. Walking is a good form of activity as it puts little strain on your surgical repair.

Between the hysterectomy and subsequent pelvic floor repair overall pelvic organ prolapse severity changed by one grade or less in 54 case patients 38 group a but increased by two or more grades in 72 case patients 50 group b.