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Treatment of uterine prolapse

21.02.2019 | from Booking Health GmbH | Diagnosis & treatment

Uterine prolapse is the descent of the uterus. According to some authors, the disease is very common and up to 28% of women experience it. Moreover, 47% of them are of working age at the time of the disease detection. The disease is fraught with a number of complications, such as:

  • Urinary incontinence
  • Pelvic inflammatory diseases
  • Bacterial vaginosis

Eventually, atrophic changes in the tissues of uterus and vagina occur due to the circulatory disorders. It is also known that women with pelvic organ prolapse have a higher risk of precancerous processes and cervical cancer.

 

What exactly is a prolapse?

Genital prolapse, also called pelvic hernia, is shifting of the vaginal and uterine walls or even their dislocation out of the pelvis. The statistics shows that 11.4% of women undergo surgery due to this disease during their lives. 15% of all gynecological interventions are performed for the uterine prolapse treatment.

The following conditions may cause this disease:

  • Complicated childbirth
  • Hormone therapy in estrogen deficiency
  • Congenital weakness of connective tissues
  • Age
  • Extragenital diseases that increase intra-abdominal pressure
  • Excessive physical exertion

There are several stages of prolapse. At the first stage the cervix descends no more than to the half of the vagina length. At the second it descends no more than to the vaginal orifice. At the third stage the body of the uterus partially protrudes from the vagina. At the fourth stage the entire uterus is located outside the vaginal orifice.

The following symptoms may occur:

  • Feeling of the foreign body in the vagina
  • Dragging pain of low or medium intensity
  • Presence of palpable hernia sac
  • Functional disorders (disorders of defecation, urination, and sexual function)
  • Pain during the intercourse (in 30% of women)

Concomitant urinary incontinence may often be observed. Most often it occurs at the initial stage of prolapse.

 

Surgical treatment

Women with uterine prolapse receive conservative treatment or undergo surgical interventions. All conservative therapy techniques do not provide the complete recovery. They only reduce symptoms and compensate functional disorders caused by the disease.

Only surgical interventions are able to solve the problem. Nowadays, more than 300 surgical techniques are developed. All of them are aimed at correcting the position of the genitals. On the one hand, it is the evidence of a thorough study of the problem and its importance. On the other hand, it is a consequence of unsatisfactory results of the most existing interventions. Therefore, doctors constantly develop new surgical techniques in order to achieve the best outcome with the lowest traumatic effect and risk of complications.

While choosing the type of operation the following aspects are taken into account:

  • Stage of uterine prolapse
  • Presence of complications and functional disorders
  • Woman's age
  • Her desire to preserve sexual activity or reproductive potential
  • Presence of concomitant gynecological pathology

The main surgical interventions are:

Anterior or posterior colporrhaphy is used at the 1st and 2nd stages of uterine prolapse. It is performed with transvaginal access (through the vagina). Vaginal walls are separated from the bladder or rectum. They are sutured and the excess tissue is removed.

Laparoscopic sacrocolpopexy is used in recurrent prolapse. Initially, the operation was performed using the open technique. Today, only laparoscopic methods are used in developed countries, as they make the intervention less traumatic. The operation corrects the uterine prolapse and vaginal fornix. The uterus is tightened up and fixed in the natural position using a mesh.

Plastic surgery of the pelvic floor with implants placement is performed in combined organ prolapse. Different prostheses are used – these are meshes made of biologically inert materials. They provide fibrosis and connective tissue proliferation that holds the organs in the correct position. The walls of the pelvic organs are divided. Then the prosthesis is implanted. The vaginal walls are sutured, and the excess tissue is removed.

 

Benefits of treatment in Germany

In developing countries, the surgical treatment of uterine prolapse is significantly less effective than in Germany. In about 35% of cases relapses occur. In order to avoid it, women with sufficient financial resources strive to receive treatment abroad.

Benefits of the uterine prolapse treatment in Germany are the following:

  • Low relapse risk
  • Low possibility of complications
  • High-quality rehabilitation facilitates recovery and prevents prolapse recurrence
  • Surgical interventions are performed with laparoscopic access which reduces the risk of complications and makes postoperative period easier
  • Modern robot-assisted surgeries are used

In Germany, doctors prefer the organ-preserving operations. At the same time, in most countries in two cases out of three the prolapsed uterus is simply removed. However, it is unacceptable for many young and middle-aged women. Therefore, in modern hospitals the organ-preserving operations are increasingly used for the correction of pelvic organs position.

German doctors perform high-quality surgical interventions with mesh implants placement. Many patients imagine the mesh as a string bag in which the genitals will "lie" after the operation. In fact, it is not so. The mesh does not only hold the uterus. It also restores normal axis of the vagina and stimulates restoration of connective tissue.

TVM (Trans Vaginal Mesh) technology is often used in Germany. It involves reconstruction of the pelvic floor using the Prolift anterior or posterior system (for the reconstruction of the anterior and posterior sections correspondingly). The mesh implants, made of polypropylene, are placed. They are very flexible and so can give any shape and size. Such meshes are made from the finest fibers. They do not dissolve over the time and provide a stable result.

 

Treatment organization

Today, thousands of women from all over the world want to visit German hospitals in order to receive treatment of uterine prolapse. It is very easy. You just need to seek the help of company Booking Health. Our company has been engaged in the organization of a treatment abroad for over 15 years.

Working with us you will receive the following benefits:

  • Choosing hospital with specialization in gynecology, where doctors receive the best results in the treatment of uterine prolapse (higher efficiency, lower risk of recurrence or complications).
  • Costs for the treatment will be reduced up to 50% due to the absence of overpricing and additional coefficients for foreign patients.
  • The treatment program is planned according to the specifics of your disease, based on the results of previously performed diagnostic procedures.
  • You do not need to repeat the complete examination, if you have recently done it at another medical facility. All documentation will be translated into German.
  • You will be able to receive treatment in Germany at any convenient time. Waiting for medical care will be reduced.
  • If necessary, we will arrange additional diagnostics or treatment procedures.
  • Clear financial control. The information about treatment costs is always available for you. All unclaimed funds will be returned after the completion of the medical program.
  • If necessary, we will help in forwarding the medicines and stay in touch with your doctor after the treatment completion.

We will provide all the necessary services, such as booking plane tickets and hotels, transfer from the airport. Our translator will accompany you in Germany. The employees of Booking Health will support you during the entire period of staying abroad.

 

Treatment of uterine prolapse

 

Choose treatment abroad and you will for sure get the best results!

 


Author: Dr. Nadezhda Ivanisova

 

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