Vaginal prolapse, or pelvic organ prolapse (POP), occurs when the pelvic organs (such as the bladder, uterus, or rectum) descend or protrude into the vaginal canal due to weakened pelvic floor muscles and ligaments. This condition can lead to discomfort, urinary incontinence, difficulty with bowel movements, and sexual dysfunction. At Dr. Pruthvi Raj Honnaiah’s clinic, we specialize in diagnosing and evaluating vaginal prolapse to offer the most effective treatment options.

Evaluation of Vaginal Prolapse

Accurate diagnosis and evaluation of vaginal prolapse are essential for determining the appropriate treatment approach. The evaluation involves a detailed assessment, including a medical history review, physical examination, and diagnostic tests:

• Medical History Review: Understanding the patient's symptoms, medical history, and lifestyle factors, including childbirth history, menopause, and family history of pelvic issues.
• Physical Examination: A thorough pelvic exam to assess the degree of prolapse, inspect for any vaginal bulging or abnormality, and evaluate pelvic floor strength.
• Symptoms Assessment: A questionnaire to understand symptoms such as urinary incontinence, vaginal bulging, pelvic heaviness, or bowel issues.
• Ultrasound Imaging: A non-invasive imaging technique to evaluate the positioning and movement of pelvic organs.
• Cystoscopy (if required): If bladder involvement is suspected, a cystoscopy may be performed to examine the bladder and urethra.
• Urodynamic Testing: A specialized test to evaluate bladder function and assess if prolapse is affecting urination.
• Defecography: A study that assesses bowel function, particularly when rectal prolapse or constipation is a concern.

Types of Vaginal Prolapse

Vaginal prolapse can involve different organs of the pelvis and is categorized based on the organ that is affected:

• Cystocele: Prolapse of the bladder into the vaginal wall, leading to urinary issues such as incontinence or retention.
• Rectocele: Prolapse of the rectum into the vaginal wall, often causing difficulty with bowel movements or a feeling of incomplete evacuation.
• Uterine Prolapse: Descent of the uterus into the vaginal canal, which may cause pelvic pressure, urinary and bowel issues, and difficulty with sexual intercourse.
• Enterocele: Prolapse of the small intestine into the vaginal canal, which may cause a feeling of vaginal bulging or pressure.

Treatment Options for Vaginal Prolapse

Once a vaginal prolapse has been diagnosed, treatment will be tailored based on the severity of the condition, the organs involved, and the patient’s overall health and preferences. Treatment options include:

• Pelvic Floor Exercises (Kegel Exercises): Strengthening the pelvic muscles to improve support for the pelvic organs and reduce prolapse symptoms.
• Weight Management: Maintaining a healthy weight to reduce pressure on the pelvic floor muscles and alleviate prolapse symptoms.
• Physical Therapy: Pelvic floor physical therapy helps strengthen the muscles that support the pelvic organs and improve symptoms of prolapse.
• Vaginal Pessaries: A non-surgical solution where a device is inserted into the vagina to support the prolapsed organs and prevent further descent.
• Hormone Replacement Therapy (HRT): For post-menopausal women, HRT can help improve vaginal tissue tone and strength, which may aid in managing prolapse.

Surgical Treatment for Vaginal Prolapse

If conservative treatments are ineffective or if the prolapse is severe, surgical intervention may be necessary. There are various surgical options to correct vaginal prolapse:

• Anterior Vaginal Wall Repair: A surgical procedure to repair a cystocele (bladder prolapse) by tightening and reinforcing the vaginal wall.
• Posterior Vaginal Wall Repair: A surgery to repair a rectocele (rectal prolapse) by repairing the vaginal wall and reinforcing the rectum.
• Colpocleisis: A procedure typically used for elderly women, where the vaginal canal is closed to prevent prolapse.
• Hysterectomy with Vaginal Vault Suspension: In cases of uterine prolapse, the uterus may be removed, and the vaginal vault is supported to prevent further prolapse.
• Laparoscopic Surgery: A minimally invasive approach to correct prolapse by repairing and reinforcing the pelvic organs using small incisions.

Post-Surgery Care & Recovery

After undergoing surgery for vaginal prolapse, patients will need time to recover. The recovery period may vary depending on the surgical procedure performed:

• Follow-up Care: Regular follow-up visits to monitor healing, ensure proper recovery, and address any post-operative concerns.
• Activity Restrictions: Patients are usually advised to avoid heavy lifting, strenuous physical activity, and sexual intercourse for a few weeks post-surgery.
• Pelvic Floor Rehabilitation: After surgery, pelvic floor exercises may be prescribed to enhance muscle strength and prevent recurrence of prolapse.
• Long-Term Management: Maintaining a healthy weight, performing pelvic floor exercises, and avoiding constipation can help reduce the risk of prolapse returning.

Why Choose Dr. Pruthvi Raj Honnaiah’s Clinic?

At Dr. Pruthvi Raj Honnaiah’s clinic, we offer expert care for women suffering from vaginal prolapse. Our approach involves a detailed evaluation, personalized treatment plans, and advanced surgical options to address all stages of vaginal prolapse. We are committed to improving the quality of life of our patients and providing compassionate care at every step.

For a thorough evaluation and treatment of vaginal prolapse, schedule an appointment with Dr. Pruthvi Raj Honnaiah today.