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UROGYNAECOLOGICAL SURGERIES

What are urogynaecological surgeries?

Urogynaecological surgeries encompass a range of surgical interventions designed to address pelvic floor disorders, particularly those related to pelvic organ prolapse and urinary incontinence. These conditions often arise due to weakened pelvic floor muscles and ligaments, leading to symptoms such as urinary leakage, pelvic pressure, and discomfort.

When are urogynaecological surgeries indicated?

Urogynaecological surgeries are indicated when conservative treatments, such as lifestyle modifications or physical therapy, fail to provide sufficient relief from symptoms. Candidates for these surgeries typically experience significant disruption to their daily lives due to urinary incontinence or pelvic organ prolapse. Additionally, those who desire improvement in their quality of life and wish to regain control over their bladder function may opt for these procedures.

What do urogynaecological surgeries entail?

Urogynaecological surgeries involve various techniques aimed at restoring the integrity and functionality of the pelvic floor. Here are a few commonly performed procedures:

  1. Tension-free vaginal tape (TVT): TVT, an abbreviation for tension-free vaginal tape, is a minimally invasive surgical technique employed in addressing stress urinary incontinence (SUI). In this procedure, a synthetic mesh tape is delicately inserted through tiny incisions in the vaginal wall, carefully placed beneath the urethra. By functioning as a supportive scaffold, this tape fortifies the urethra, thereby averting leakage episodes triggered by activities imposing pressure on the bladder.
  2. Laparoscopic Sacrocolpopexy: Laparoscopic sacrocolpopexy is a minimally invasive surgical procedure used to correct pelvic organ prolapse, specifically vaginal vault prolapse. During the procedure, mesh is used to support the prolapsed organs (commonly the vagina) by attaching it to the sacrum (base of the spine). The surgery is performed using small incisions in the abdomen, through which a laparoscope and specialized surgical instruments are inserted. Benefits of laparoscopic sacrocolpopexy include shorter hospital stays, quicker recovery times, and reduced risk of complications compared to traditional open surgery.
  3. Vaginal Approach Prolapse Repair Surgery:
    Vaginal approach prolapse repair surgery involves repairing pelvic organ prolapse through the vaginal canal, without the need for abdominal incisions.
    Different techniques can be used depending on the type and severity of the prolapse, such as anterior repair (for cystocele), posterior repair (for rectocele), and apical suspension (for uterine or vaginal vault prolapse). The surgery may involve removing excess vaginal tissue, repairing weakened pelvic floor muscles, and using sutures or mesh to provide support to the prolapsed organs. Recovery time for vaginal approach prolapse repair surgery is typically shorter compared.

FAQ

1What are the risks associated with urogynaecological surgeries?
Like any surgical procedure, urogynaecological surgeries carry certain risks, including infection, bleeding, injury to surrounding organs or structures, urinary or faecal retention, and recurrence of symptoms. Your urogynaecologist will discuss these risks with you and take steps to minimize them.
2How long is the recovery period after urogynaecological surgery?
The duration of recovery varies based on the specific type and complexity of the surgery performed. Following surgery, patients typically experience discomfort and swelling, and restrictions on physical activities may persist for a few weeks. Full recovery may take several months, during which time your urogynaecologist will provide guidance and support to ensure a smooth recovery process.
3Will I experience any changes in urinary or bowel function after urogynaecological surgery?
It is common to experience temporary changes in urinary or bowel function following urogynaecological surgery, such as urinary urgency, frequency, or constipation. These symptoms typically improve as the body heals, but it's important to discuss any concerns with your urogynaecologist to ensure appropriate management.