Genitourinary prolapse, better known as “organ decent”, is a “must have female” pathology described by surgeon-urologist Anic Roach at a private hospital in Anthony, Houtz-de. -Sign. According to the Health Insurance website, a woman has an 11 to 19% increased risk of having surgery for the disease in her lifetime. But what is in this pathology, and how to identify the signs? In Sans Rendezvous, the urological surgeon takes this still little known and very impressive disorder.
Slipping of pelvic organs
The prolapse is consistent with the slipping of the small pelvic organs in the patient, i.e. the vagina. Typically, the bladder, uterus, and rectum are supported by the pelvic floor or perineum. However, when the tissues or ligaments in this area become extensive, these organs can “unhook and descend by gravity and be released through the vagina,” explains Yanick Roach. The term cystocell is the prolapse of the bladder, the hysteroxel and rectocle of the uterus, which is very rare and also affects men in specific cases for the rectum.
Prior to expulsion, in some cases, the pelvic organs press against the vaginal wall, creating discomfort in the affected person. To prevent prolapse from becoming an advanced stage, it is important to remember to identify the pathology in the “early” stage:
– “We have difficulty urinating, urination or abnormal needs, for example urgent need due to emergencies,” explained the urologist surgeon.
– “One can also experience pelvic girdle, especially at the end of the day after walking, i.e. heavy in the vagina”.
If in doubt, do not hesitate to consult your doctor first, who will refer the patient to a urologist. Without fear, Yannick Roach recalled. “There is no significant risk because there is no emergency,” he assures, explaining that the pathology is “impressive” and “morally complex”. Especially when the prolapse is external, i.e. the pelvic organs come out.
Many risk factors
Several factors promote prolapse: pregnancy, especially multiple pregnancies, recurrence of natural childbirth, relaxation of the perineum of muscles or hormones, or recurrent abdominal hypertension. The urologist surgeon lists “women who have a chronic cough, who are overweight, for example, who make significant physical efforts such as weightlifters.”
“Sometimes it even applies to women with anorexia nervosa because this pathology relaxes the perineum: the tendons are loose and organ maintenance is poor.” Contrary to popular belief, sexual practice does not diminish at all, “he said.
How to cure it?
Many hygienic and dietary tips can be used to treat early prolapse. “We can lose weight, facilitate transportation, and physiotherapy the muscles to return the perineum in moderate settings,” Dr. Yanick Roach explained. Hormone therapies, in the midst of debate in the medical community, also allow, according to him, to strengthen the vagina, which is “crucial for most things”. “If we can’t do it normally, at least locally with eggs or creams,” he says.
In the most advanced cases and when the organ has already descended, therapies cannot fight against gravity. The patient may need to have a surgical operation. One of the techniques that can be used is promontoxification: laparoscopic intervention, i.e. abdominal passage. You enter the abdomen through small incisions.
“Using two strips, we hold the bladder, uterus, vagina, and rectum and hang them a little firmly over the tendons so that it stays that way”, schematizes Yanick Ruch. “Like all mechanical surgeries, it works very well.”
Another technique is to go through the vagina, and go as far as fitting a synthetic reinforcement prosthesis to prevent prolapse from recurring.