uterine pain

Can prolapse surgery provide freedom from uterine pain?

Although abdominal pain, incontinence and weakness of the pelvic floor are extremely common problems, many women find it difficult to access help for them. Often, they spend months, or even years, trying to access the appropriate diagnosis and treatment. As a result, symptoms, such as uterus pain and stress incontinence, can worsen over time.

In many cases, these issues are caused by a uterine prolapse. When the tissues, muscles and ligaments which support the uterus become weak, it can cause the uterus to be displaced. When the uterus drops, a prolapse occurs and women may suffer a range of symptoms.

Is a hysterectomy the only treatment for a uterine prolapse?

When patients present with uterus problems or a severe uterine prolapse, they are sometimes told that a hysterectomy is the only remedy available to them. However, a hysterectomy is not the right option for everyone and there are alternative surgical procedures available.

A sacrohysteropexy, or prolapsed uterus surgery, is an effective form of prolapse repair and negates the need for a hysterectomy. By repositioning the uterus and using flexible mesh to support it, the uterus is held in place.

The additional support provided by the mesh ensures that issues, such as weak pelvic floor muscles or nerve damage, no longer result in a prolapse occurring. Furthermore, the presence of the supportive mesh provides a permanent solution to prolapse problems and the associated symptoms.

Who can undergo a sacrohysteropexy?

As this type of prolapsed uterus surgery is performed laparoscopically by Mr Jonathan Broome, Consultant Gynaecologist, it is suitable for the majority of women with uterine prolapse symptoms. As the uterus remains in place, rather than being removed, it is particularly appropriate for women who wish to have children in the future.

Despite having a 100% success rate, sacrohysteropexies are only performed by a small number of surgeons in the UK. With many GPs still unfamiliar with the procedure, patients aren’t always made aware of its availability.

To learn more about the benefits of sacrohysteropexy for uterus pain and prolapse, contact The Pelvic Clinic today on 01204 772400.

prolapse repair surgery

Preparing yourself for prolapse repair surgery

Having surgery of any size can be a worrying thing and it is understandable that you will feel anxious or nervous before coming in for your treatment. Though it is important to remind yourself that, here at The Pelvic Clinic, we believe that prolapse repair surgery is the best option for the majority of people who suffer from a prolapse. It is also important to familiarise yourself with the process and be reassured by knowing what is involved.

Going in for surgical treatment is never an easy thing, but there are simple ways to prepare yourself mentally for what lies ahead. We’ll list some of the best ones here in today’s blog post.

1. Knowing what your treatment will involve can help to allay a great number of misguided fears surrounding your surgery. Find out all the information you need about the particular kind of operation that is going to be performed. By reading about the surgery yourself, you can be reassured that surgeons are experienced, such as Mr Jonathan Broome, who has performed over 1,000 procedures to return pelvic organs to their correct position.

2. Discuss your worries with a professional or family and friends. Often the biggest worries about surgery come from overthinking the situation and can be solved by having a conversation with a healthcare professional or someone close to you. Talking through what is making you anxious will almost certainly result in the issue seeming much lesser than it was. The prolapse surgery is straightforward and safe and it always helps to have a support network to remind you of that.

3. Think ahead to the life that this surgery will give you. Because it is performed laparoscopically, without any large incisions in your abdomen, prolapse repair surgery is a very quick and easy procedure, and usually requires only one night in hospital. It won’t be long until you are out and about again, and once you have recovered you can enjoy the benefits and peace of mind that follow.

And remember, don’t hesitate to contact us if you want more information on the prolapse repair surgery or answers to any other questions you might have.

How friends and family can help you recover from prolapse repair surgery

At The Pelvic Clinic, we pride ourselves on offering excellent care before, during and after our patients’ sacrohysteropexy surgeries. The prolapse repair surgery that we offer is straightforward and safe, but it’s still important to ensure that our patients are looked after properly. If you’ve suffered a prolapse, you can rest assured that we’ll give you the best care possible. However, once you leave the hospital, your family and friends will need to provide you with the care you need so that you can fully recover from your operation. Ergo, you may be wondering what practical things they can do to help you.

There are several ways friends and family can offer practical care following a sacrohysteropexy operation. We’ll list some of the most common ones in today’s blog entry.

1. Driving

You won’t be able to drive immediately after a sacrohysteropexy. In fact, it may take a few weeks before you are able to drive comfortably. Friends and family members can help you a great deal during this period simply by driving for you. They can either take you as a passenger whenever you need to go out or run errands for you that you can’t perform without driving somewhere.

2. Carrying heavy loads

During the recovery period, we strongly recommend that you don’t lift (or try to move) any heavy objects. Friends and relatives can assist you by carrying heavy bags of grocery shopping and other loads when necessary.

3. Helping around the house

There may be some household chores that you can’t undertake during your sacrohysteropexy recovery. Luckily, you don’t have to: your friends and family can step in to take over some of your chores and keep your home clean, tidy and liveable until you have fully recovered.

Having a support network of family and friends can be very beneficial when recovering from any type of operation (including a sacrohysteropexy). Don’t be afraid to ask for their help whenever you need assistance during your recovery. Furthermore, don’t hesitate to get in touch with us if you want more information on the prolapse repair surgery we offer or the recovery period that follows this surgery.

four stages of prolapse

How severe is your prolapse?

As you are probably aware, all prolapses are deeply unpleasant and can be very embarrassing. However, you may not realise that some are more severe than others. There are several different and distinct degrees of severity. The higher degrees are worse than the lower degrees, but all of them are treatable with appropriate prolapse repair surgery. Here at The Pelvic Clinic, we believe that it’s important for you to know about these different degrees of severity. If you know how severe your prolapse is, you can make a fully informed choice regarding the course of action you want to take.

1. First-degree prolapse

First-degree prolapses are the least extreme type. You may feel some discomfort or pain if you have a first-degree prolapse, but there is also a chance that you won’t. Basically, a first-degree prolapse can be characterised as a prolapse where the cervix has fallen into the vagina but not dropped any further. If you discover that you have this type of prolapse, you should seek medical treatment, even if it isn’t causing you discomfort. However, you shouldn’t panic. While you need medical treatment, you may not need it urgently. Ar this stage, it is always helpful to have some intensive physiotherapy to see of this can repair the pelvic floor muscles.

2. Second-degree prolapse

In this type of prolapse, the cervix hasn’t simply dropped down into the vagina: it has descended to the level of the vaginal opening. This type of prolapse is more likely to cause discomfort or pain than a first-degree prolapse and may prove to be a more a serious problem if it is left untreated for too long. We recommend seeking medical treatment and considering the possibility of prolapse repair surgery as soon as you find out that you have this type of prolapse.

3. Third-degree prolapse

If you have this type of prolapse, it is imperative that you seek medical treatment and start preparing for prolapse repair without delay. This type of prolapse can be very painful and can seriously damage your quality of life if it isn’t treated. It may also develop into a fourth-degree prolapse.

4. Fourth-degree prolapse or ‘procidentia’

In this type of prolapse, the cervix and uterus both drop to outside of the vagina. This condition may be extremely painful and even debilitating. It must not be left untreated and should be redressed using prolapse repair surgery. If you have this type of prolapse, you should deal with it urgently.

Regardless of how severe your prolapse is, Mr Broome has the expertise and experience to offer you appropriate treatment. Contact The Pelvic Clinic today for more information.

pelvic floor repair

Five fibrous foods that help prevent prolapses

Constipation is a very common cause of uterine prolapse. However, constipation is completely preventable. In fact, it’s easier to prevent than any of the other issues that can lead to a prolapse. All you need is fibre! Here on The Pelvic Clinic blog, we often advise our readers to get more fibre in their diets in order to prevent constipation and help avoid prolapse. But what foods should you eat to increase the amount of fibre that goes into your body, and how can you make sure you get enough of them?

1. Beans and pulses

Beans and pulses are a fantastic source of fibre. They are also incredibly versatile ingredients. They can be used in a wide variety of dishes, ranging from chillies and curries to casseroles and pies. Simply incorporating beans and pulses into meals you already cook and enjoy regularly is a simple way to boost the amount of fibre in your diet.

2. Dried fruits and nuts

Dried fruits and nuts contain high concentrations of fibre. What’s more, they’re delicious and easily portable, which makes them ideal high-fibre snacks. If you don’t always have time to cook high-fibre meals, carrying around some dried fruit or some nuts to snack on is a fantastic alternative.

3. Porridge and bran-based cereals

Breakfast is a great time to introduce fibre into your diet. If you’re not sure about what you’ll be eating throughout the day, eat some porridge or a bran-based cereal for breakfast. Not only are these breakfast options high in fibre, they’re also very healthy in other ways.

4. Wholemeal pasta and wholegrain rice

While white rices and pastas aren’t very high in fibre, their wholegrain and wholemeal equivalents are. If you use a lot of white rice or pasta in your cooking, why not substitute it for wholemeal pasta or wholegrain rice? It’s an easy way to increase the amount of fibre in your diet without completely altering the meals you eat, and you’ll hardly notice the switch.

5. Jacket potatoes

Potatoes are a staple of the British diet, but did you know that their skins are very high in fibre? Next time you eat a jacket potato, remember to eat the skin, too.

Here at The Pelvic Clinic, we know that your diet can help you prevent a prolapse or recover from prolapse repair surgery. By eating more of the foods we’ve mentioned in today’s blog, you can increase the amount of fibre in your diet and therefore prevent constipation. If you avoid constipation, you can eliminate one of the risks of suffering a prolapse or difficulty recovering from one. Want to find out more about prolapse surgery? Contact us today.

gentle exercise after prolapse

Exercising after a prolapse repair operation

As we have mentioned in previous blog entries, it’s important to avoid strenuous exercises immediately after prolapse repair surgery. Weightlifting, running and other exercises that put pressure on your pelvic muscles can damage you or reduce your chances of recovery. You may wish to take up these exercises again after giving yourself time to recover, but you shouldn’t attempt them in the aftermath of surgery. However, if you want to keep in shape or strengthen your muscles, there are exercises you can do almost immediately after undergoing a prolapse repair operation.

1. Walking

If you’re lucky enough to live near an area with lovely scenery, why not go out for a walk and enjoy it? Walking is good exercise that you can undertake without straining your pelvic muscles following prolapse repair surgery. In addition to helping you recover and stay fit, walking also offers psychological benefits: it can help you feel more content and reduce stress. Even a minor operation (such as a prolapse repair) can put you under stress, so using this gentle form of exercise to relax and re-centre yourself is highly advisable.

2. Cycling

Cycling offers similar benefits to walking, both physically and psychologically. Provided you’re careful to cycle gently and avoid overexerting yourself, you can get on a bicycle fairly soon after your prolapse repair operation. There are two main differences between cycling and walking: firstly it exercises different muscles and secondly, it allows you to cover slightly greater distances. We recommend if you want to explore as much scenery as possible while exercising.

3. Stretching and yoga

Gentle stretching, exercising and yoga are a great way to keep in shape while recovering from prolapse repair surgery. One major advantage is that you can do them in the comfort of your own home, which means you can stop instantly if you experience any discomfort.

Of course, there are other non-strenuous exercises you can take on soon after prolapse repair surgery. However, the three we have listed today can be enjoyed easily and cheaply by anyone. Here at The Pelvic Clinic, we care about your recovery process, so don’t forget to exercise after your operation.

 

recovery after prolapse

Getting your life back after prolapse repair surgery

If you have been suffering from chronic pain as a result of a prolapse, your life may have been significantly disrupted. Pain can prevent you from carrying out day-to-day activities and doing things that you normally enjoy. Consequently, an untreated prolapse can completely change the way you live your life. Here at The Pelvic Clinic, we understand that, following prolapse repair surgery, physical recuperation is only the first stage of the recovery process. The second stage is getting your life back. To help with this crucial second stage, we’ve decided to provide you with some tips that will help you get back to normal life following a prolapse.

1. Make a point of meeting up with friends

If you lived with a prolapse for a long time before seeking prolapse repair surgery, the pain may have prevented you from pursuing an active social life. We recommend that you schedule meetings with your friends as soon as you feel well enough. Try to pursue social activities with them that you enjoyed before your life was disrupted by a prolapse. This will help you get used to going out with friends and enjoying a rich social life again.

2. Practice gentle exercises

Doing gentle exercises can help you recover physically after receiving prolapse repair surgery. However, it can also help restore your confidence and sense of autonomy. Taking control of your body again while recovering from a prolapse can be psychologically beneficial. Once you have built up your confidence and sense of self-determination, you will find it much easier to take charge of your life and get back to normal.

3. Get back to work gradually

If you’ve had to take a lot of time off work due to the pain caused by your prolapse, you may find it hard to get back into the rhythm of the working day. We recommend that you don’t push yourself too hard. Go back to work when you feel ready, but don’t feel obliged to take on all your old responsibilities straight away. Talk to your employers about gradually increasing the hours you work or the responsibilities you have over a period of a couple of weeks. This will give you chance to reacclimatise yourself to the working environment. You will have the chance to build yourself up until you are able to take on your old role.

Here at The Pelvic Clinic, we believe that recovering your life is just as important as recovering your health after prolapse repair surgery. Feel free to get in touch with us for more information.

what is vaginal wall prolapse

What is a vaginal wall repair?

Due to obesity, strenuous childbirth or the dreaded menopause, vagina muscles can become weakened and overstretched over time. As a result of the stress on the body, the vagina may move from its original position and become prolapsed. The bladder or anus can bulge into the vagina causing a feeling of fullness, pressure on the bladder or anus, leaking, incontinence, pain during intercourse and recurrent bladder infections. The effect of the prolapse can be felt on the front and back walls of the vagina.

A vagina wall repair can help fix some of the problems associated with prolapse. Depending on the location of the damage, Mr Broome can recommend repair surgery which will last for years. There are two different types of repair.

Anterior repair focuses on the front wall of the vagina, when the bladder prolapses and bulges in the front. Under a general anaesthetic, Mr Broome will push back the bladder to its original position while tightening the front to support the vagina.

Posterior repair focuses on the rectum and the back wall of the vagina. Again, under a general anaesthetic, the bowel is pushed back to its original position to prevent bowel dysfunction and sagging in the vagina. The tissue between the anus and vagina will be tightened in a similar way to the anterior repair.

The vagina wall repair can be combined with other complimentary treatments such as pelvic floor muscle exercises, post baby exercises and oestrogen cream to lubricate the vagina. The key to looking after your prolapse is to book a consultation and look out for the danger signs:

• Feeling rectal or bladder pressure or fullness
• The need to press on a bulge in your vagina to push stool
• Seeing a bulge at the opening of the vagina
• Pain during intercourse
• Stress incontinence, leaking urine during strenuous activities

Recurrent bladder infections

Mr Broome is experienced with all manner of prolapse and he can advise the most suitable course of treatment or surgery for you. Please email or ring us for further information.

Taking the right road to prolapse repair surgery

If you have suffered a prolapse, undergoing appropriate prolapse repair surgery is clearly the best move. However, the route from prolapse to prolapse repair will be different for every patient. Some people will be able to decide on a course of action and book themselves in for an appropriate operation in a matter of days, whereas others may take several weeks to think about their options before having prolapse repair surgery. Here at The Pelvic Clinic, we want to make sure you take the route to prolapse repair that feels right for you.

If you feel confident and comfortable about dealing with your prolapse head-on and you are certain that you want to opt for a sacrohysteropexy to fix it, you can contact us directly. Although you will still need a referral from a general practitioner, you can book yourself in for a consultation with Mr Broome as soon as you like. For many people, this is the best route to prolapse repair surgery because it is fast and efficient. Living with a prolapse can be painful and embarrassing, so it’s best address the problem directly and rapidly if you are confident enough to do so. To make a private medical appointment at the BMI Beaumont, you just need to ring 01204 404404.

However, if you are unsure about whether you should opt for a sacrohysteropexy, or are concerned about the costs of private healthcare, you can opt to see Mr Broome via the NHS Choose and Book system. This means that you will need to visit your GP and ask to see a gynaecologist at the BMI Beaumont Hospital on a Tuesday or a Friday. As the system does not let you choose the surgeon, just the location, by using this method of selection, you will be getting to see Mr Broome. Once your letter of appointment confirmation comes through, please double check that it does indeed mention Mr Broome and then your appointment is set up for you.

Whether you see Mr Broome privately or via the NHS, you will still have time to discuss your problem and make a plan of action. You can then choose how you wish to proceed. If you choose the private pathway, this is much smoother and surgery can take place more quickly. The NHS and then switching to private is also possible as is a private consultation and then switching to the NHS though this does have its problems. We do offer a finance package, if this is helpful, allowing you interest free credit for a period of 12 months and some ladies are grateful for this type of financial help.

Regardless of how you come to us, we can promise that we’ll do everything in our power to make sure your sacrohysteropexy goes smoothly. Mr Broome has a 100% success rate, and we are confident that you won’t regret your decision to have prolapse repair surgery with us.

 

recovery from pain

Say goodbye to your fear: there’s no reason to worry about prolapse repair surgery

If you’ve suffered from a prolapse, the thought of undergoing prolapse repair surgery can be almost as troubling as the problem itself. Because many people are embarrassed by prolapses, it is often hard to talk about them or discuss the process of having them repaired with others. Understandably, this can cause you to worry about the procedure. Here at The Pelvic Clinic, we are experts in prolapse repair operations and we’d like to take the time to assuage some of the most pressing concerns that you may have.

1. Hysterectomies and sacrohysteropexy operations

Many people are understandably alarmed by the thought of having to undergo a hysterectomy and it is often the case that when they contact us, they have already been told by their well meaning GP or a local consultant that a hysterectomy is their only option. Luckily, there is a simpler option that doesn’t have such a lasting impact on your body. If you dislike the idea of a hysterectomy, you may opt to have a sacrohysteropexy instead. This type of surgery simply repositions the uterus and holds it in place with a mesh inserted via keyhole surgery. In other words, your prolapse can be repaired without anything being removed from your body. Being performed via keyhole surgery also means that it is a cleaner operation with less risk of infection. Also, it is worth knowing that Mr Broome has not performed a hysterectomy to repair prolapse for over 10 years now. He helped pioneer the sacrohysteropexy and many happy ladies later, the operation is proving very successful in keeping everything in the right position, long term.

2. Follow-up care and further operations

You may be concerned that you will have to undergo follow-up operations or repeated hospital visits following your prolapse repair surgery. However, this isn’t the case at all; in almost all cases, there is no need for further operations after a prolapse has been repaired via Sacrohysteropexy (unless there is a secondary problem but this often can be repaired at the same time). Of course, following a prolapse repair procedure, you will come back to see Mr Broome at 6 weeks to check that your recovery process is progressing well.

3. Long and painful recoveries

You might be afraid that you will have to endure a long, painful recovery process after your surgery. In reality, however, you will be able to resume many normal activities within a couple of weeks of your surgery. You may experience some discomfort while recovering from the surgery, but if you follow Mr Broome’s guidelines, you should not have to endure any pain.

Here at The Pelvic Clinic, we want you to feel completely comfortable about your surgery. If you have any concerns, please contact us so that we can set your mind at rest.