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The most common surgery for prolapse is a Vaginal Hysterectomy (pelvic floor repair), which is a broad term used to describe simple surgical repairs of the pelvic floor. More specifically, the term anterior repair refers to correction of the front wall of the vagina; and posterior repair refers to correction of the back wall of the vagina. If the uterus is prolapsing, it may be removed (hysterectomy). If the patient has already had a hysterectomy, then the top of the vagina (vault) can be lifted up and supported. .
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The most common surgery for prolapse is a pelvic floor repair, which is a broad term used to describe simple surgical repairs of the pelvic floor. More specifically, the term anterior repair refers to correction of the front wall of the vagina; and posterior repair refers to correction of the back wall of the vagina. If the uterus is prolapsing, it may be removed (hysterectomy). If the patient has already had a hysterectomy, then the top of the vagina (vault) can be lifted up and supported.
The most common surgery for prolapse is a pelvic floor repair, which is a broad term used to describe simple surgical repairs of the pelvic floor. More specifically, the term anterior repair refers to correction of the front wall of the vagina; and posterior repair refers to correction of the back wall of the vagina. If the uterus is prolapsing, it may be removed (hysterectomy). If the patient has already had a hysterectomy, then the top of the vagina (vault) can be lifted up and supported.
The types of pelvic floor repair operation include:
Surgeons often carry out more than one of these repairs simultaneously
Anterior repair is a surgical procedure to repair or reinforce the weakened layers between the bladder and the vagina and the aim of the surgery is to relieve the symptoms of vaginal bulging/ laxity as well as improve bladder function, without interfering with sexual function.
Success rates for anterior repair are 70-90%, however there is a chance that the prolapse may recur or another part of the vaginal wall may prolapse.
A prolapse of the back wall of the vagina (posterior) is usually due to a weakness in the strong tissue layers that divide the vagina from the lower part of the bowel. Posterior repair is a surgical procedure to repair or reinforce the weakened layers between the rectum and the vagina. Success rates for posterior repair are 80-90%, however there is a chance that the prolapse may recur or another part of the vaginal wall may prolapse
A sign of prolapse is usually a bulging of either the front or back wall of the vagina – or both. This may also occur along with a prolapse of the uterus (womb) itself. When the uterus is also prolapsed it is very likely that a vaginal hysterectomy as well as vaginal repair will be carried out. Prolapse can also occur in women who have already had a hysterectomy. When the front wall of the vagina prolapses this is called a cystocoele. This is herniation of bladder into vagina and it can cause bladder symptoms. When the posterior wall of the vagina prolapses this is called a rectocoele and this can cause bowel symptoms. Up to 29% women may experience problems with a further prolapse later in life. Hence, patients need to be aware of the predisposing factors for the prolapse which include family history, being overweight, smoking, chronic cough, chronic constipation or having a job that entails very heavy lifting or straining. Sometimes there may not be any explanation for the recurrence and further treatment may be required. Allowing sufficient time for convalescence postoperatively, carrying out effective pelvic floor exercises, avoiding excessive weight gain and, if the patient is a smoker, stopping may reduce this risk.
Although vaginal repair is a relatively safe operation and serious complications are not very common, it is still major surgery. Most operations are straightforward and without complications.
However, there are risks associated when operations are delayed and conditions are worsened. The patient needs to be aware of these when deciding the right time for treatment and act immediately to stay healthy.
The risks of delayed surgery include excessive bleeding during or after the operation, requiring a blood transfusion or return to theatre, severe infection which may affect the wound, bladder or lungs, or develop around the operation site internally, damage to the bladder or the ureters that drain into the kidneys , very rarely, damage to the bowel, Deep vein thrombosis (DVT, and other operative risk, in general, tends to be increased by factors such as co-existing medical problems (e.g. diabetes, high blood pressure, or certain drug treatment) or previous surgery. Being overweight does make both anaesthetics and surgery more difficult and therefore increases risk.
You should be able to drive and be fit enough for light activities within a month of surgery. We advise you to avoid heavy lifting and sport for at least 6 weeks to allow the wounds to heal.
Desun hospital Kolkata is premium superspeciality hospital in Eastern India with state of art health care infrastructure. Desun hospital Kolkata is NABH and NABL accredited and follow strict quality parameters as per requirements.
Desun hospital is among the very few hospitals in India where there is more than 700 comprehensive surgery packages available. The composite surgery packages are all inclusive of the important things that are a part of any surgery process starting from information seeking by patient or patient party to the post operative care that may continue even after discharge from hospital. The surgery packages at the hospital have been developed by experienced medical team so that it is all inclusive and comprehensive.
The surgery packages at Desun Hospital Kolkata are affordable as per cost and quality. High quality health care services in a hospital in India at affordable cost are a combination that is indeed helpful to patients visiting the hospital from all over India, West Bengal and certainly Kolkata. People also visit the hospital from parts of the world like Bangladesh, Nepal, Bhutan and South East Asia.
The excellent patient service team and 24 hours emergency response also brings in local Kolkata residents and people from parts of West Bengal and North Bengal whose relatives, sons or daughters stay outside India. NRI’s and NROB’s have facility to enroll their parents and elders under the Desun Senior Citizens Card scheme that enables them to take care of the hospitalization and health care needs of their senior citizen elders and parents back home in India. All payments and procedures of admission, discharge etc can be concluded online or over phone.
Desun hospital has facilities for latest surgeries and all modern equipments, OTs (Steel OT’s) and updated facilities to deliver excellence in terms of latest surgery techniques , modern well maintained equipments and over all top level health care infrastructure. Laparoscopic surgeries (lap) , key hole , minimally invasive and invasive surgeries all are conducted in the hospital. The hospital has advanced health care facility.
Highly experienced doctors, well trained staffs, active patient care team alongside the best surgery facilities provide a very good experience at Desun. This is evident from the numbers of people and families who recommend this hospital in Kolkata, India as a very dependable place for undergoing latest surgeries at an affordable cost. There are many success stories at Desun hospital those published and discussed even in leading national and local newspapers and news media in television. Desun’s medical team with it’s dedication and help pf advanced health care facilities at the hospital have done surgeries that are popular among hospital impact stories in India.
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