prolapse repair

How To Help Yourself After A Prolapse Repair

For many women suffering from prolapse symptoms, surgery is the most suitable solution. A skilful prolapse repair can give significant relief from the pain and discomfort that prolapses cause, and reduce incontinence. Take a look at how physiotherapy can play a role in minimising the risk of surgical complications and provide a post-surgical exercise regime that helps maximise the benefits of the procedure.

Chest care

Particularly if you are an ex-smoker or have a chronic chest condition such as asthma, anaesthesia can result in thickened lung secretions that are difficult to expel. Prompt physiotherapy can help with this issue, reducing the chances of post-operative chest complications.

Postural assistance

Poor posture, perhaps due to osteoporosis, bad habits or prolonged pain, can place considerable stress on the pelvic floor. A physiotherapist can undertake a full postural and gait analysis, prescribing remedial exercises if necessary to help correct any issues.

Pelvic faradism

In some cases, stimulation of the pelvic floor muscles with a low-grade electrical current can help, resulting in a strengthened pelvic floor, particularly when undertaken in conjunction with Kegel exercises. Some women may find this beneficial.

Weight maintenance

If poor mobility or a specific joint or muscle condition is preventing you from doing the regular exercise needed to maintain a healthy weight (excess weight is a key factor in prolapse and it is vital that a healthy weight is maintained post-surgery in order to maximise its success), an optimum weight should be addressed after surgery, if to before, to ensure that there is no us cesura pressure on the pelvic floor.

Looking after yourself is key to ensuring post-prolapse repair recovery; by focussing on you by eating and living better, you can help make sure you are doing everything possible to get back into tip-top condition after your surgery. Appropriate attention to other lifestyle factors (such as exercise and stress) can all assist in ensuring that surgical prolapse repair has the very best possible outcome.


prolapse after childbirth

Prolapse After Childbirth – What Can Be Done?

Pregnancy and childbirth brings on endless changes to the body; some of them temporary that simply fix themselves, and some of them potentially causing further problems that might need medical attention. The problem is, many women simply don’t know whether the symptoms they’re suffering from are normal, or whether they might need to see a specialist. One issue that’s often overlooked is vaginal prolapse, which can also be caused by obesity and the menopause, and the strain of childbirth could have caused your vaginal walls to be damaged. So, how do you know if you’ve suffered from this condition?

Checking symptoms

If you suspect a vaginal prolapse, then it’s essential to get help as soon as possible. Experts such as Mr Jonathan Broome will be able to diagnose your problem, and make suggestions for prolapse surgery or other things that can help.

The first symptom that women often notice is a bulge, or a feeling of fullness in the pelvic area. Some women also get pain during intercourse, and might notice they’ve started suffering from stress incontinence; letting out a small amount of urine when they sneeze, laugh, or lift something heavy.

Vaginal wall repair

Once you’ve been diagnosed with a prolapse, you’ll have many options for surgery and an expert will be happy to discuss what’s the best one. A common option is a simple surgery to repair the vaginal walls, which helps repair overstretched and weakened muscles that support the vagina and womb. This therefore puts the bladder or bowel back into place, stopping the pain and discomfort from a prolapse.

There are two types of vaginal wall surgery. An anterior repair will help with prolapses where the bladder bulges towards the front of the vagina. Performed by gynaecological experts, the surgery involves pushing the bladder back into place, and ensuring the muscles are tight enough to support it. A posterior repair is when the bowel is causing the prolapse, and having it put back into place helps ease the symptoms of bowel dysfunction and pain.

A prolapse can be embarrassing for a patient at any time, and some women are especially self conscious when they’ve just given birth. Luckily, with the right expert advice and care, it’s something that can be repaired simply, helping free you from the symptoms.


prolapse symptoms

A problem shared: don’t ignore prolapse symptoms

Although exact figures are unknown, it is estimated that roughly 50% of women in the UK who have had children have some degree of prolapse. Pregnancy and childbirth have a major impact on the female pelvic floor and over time, this can result in severe weakening of the muscles, leading to pelvic organ prolapse. Although this is not an uncommon problem, it is believed that less than half of those with prolapse will seek medical advice for their problems, and as a result, many risk the prolapse becoming significantly worse.

Out of sight and out of mind

There are numerous reasons why doctors see so few women reporting prolapse to them. Many women only experience mild prolapse symptoms and therefore are unaware that something is seriously wrong, and that the condition can get significantly worse. Others may simply mark the problems down as a natural consequence of having children and believe it is something to put up with. Others may feel embarrassed about their condition and avoid seeking medical attention. If you are one of these people, it is time to change your outlook. Ignoring the problem will not make it go away; if you do not consider prolapse repair surgery, your symptoms will progressively become worse.

Don’t be daunted by prolapse repair procedures

Although the thought of surgery may be worrying, it is one of the most efficient methods of dealing with prolapse. Procedures such as sacrohysteropexy have a relatively short recovery time and allow women to get back to normal as quickly as possible, with no more bladder problems, pelvic pain, bleeding or discomfort during sex – all the symptoms that they may have put up with for months or years before the surgery. The surgery even allows women to go on to have more children if they wish.

Make today the first day in your journey to recovery

No matter how severe your symptoms or how long you’ve been experiencing them for, take the plunge and speak to a specialist about prolapse repair as soon as possible. The longer you wait to do this, the worse your uterus pain can become as the prolapse becomes more and more severe. Contact us today for an appointment and take the first step towards a healthy, pain-free future.


prolapse repair surgery

Prolapse: Why Hysterectomy Is Not The Answer

Hysterectomy is a common operation in the UK, with almost 50,000 women undergoing the procedure each year. Sometimes it is performed for prolapse of the uterus but there are many reasons why a hysterectomy can be performed. Although the operation should be a safe procedure, there is a risk of complications occurring at a later stage – often years down the line. Here’s what you need to know about hysterectomy for prolapse repair surgery and potential effects it could have on your body.

What is a hysterectomy?

Hysterectomy is the process of removing the womb and uterus via surgery. Depending on the reasons why procedure is necessary, either the full womb will be removed or only parts of it will be removed.

Why might a woman need a hysterectomy?

Medical conditions that affect the reproductive system may result in a hysterectomy being necessary. This includes problems such as heavy periods, prolapse, chronic pelvic pain, fibroids and cancer of the ovaries, uterus, cervix or fallopian tubes.

What are the potential risks and side effects of hysterectomy?

Immediate risks with the surgery include heavy bleeding, bowel or bladder damage and, as with all major operations, infection or a bad reaction to the general anaesthetic. Recovery tends to take between eight weeks to 3 months and it is extremely important to take this time to rest and allow the body to heal.

Women who have had a full hysterectomy can expect to go through the menopause almost immediately since their bodies will stop producing oestrogen as the ovaries are removed. Those who have one or both of their ovaries left can expect to go through menopause within around five years.

However, what is overlooked, is the fact that a hysterectomy may not be the answer to the problem of prolapsed uterus.

If you think you have a prolapse, then here are a few common symptoms:

– A feeling of pressure or heaviness in the vagina
– A noticeable bulge or protrusion
– Spotting (light bleeding)
– Being unable to retain a tampon
– Loss of intimate sensation
– Urine leaks, inability to empty the bladder or frequent need to urinate

What can I do about my prolapse?

Prolapse surgery is often the best way to fix a prolapsed organ, particularly if the prolapse is very severe. There is a much easier operation to have, a Sacrohysterpexy which uses a laparoscopic approach to hoist the uterus back into position permanently with the use of mesh. Women have gone onto have children after this procedure with no ill effects whatsoever. The sacrohysteropexy operation is a uterus sparing procedure so sparing women from many of the unpleasant side effects of a hysterectomy. Many women who have prolapse repair surgery with a sacrohysteropexy find that their quality of life is significantly improved as they no longer suffer the pain and discomfort that prolapse causes.

For more information on prolapse surgery after hysterectomy, contact The Pelvic Clinic today.


Maintain A Healthy Pelvic Floor After Prolapse repair

healthy pelvic floorThe primary reason prolapse occurs is that the pelvic floor has become weak over time. During pregnancy and labour, the pelvic floor is put under huge amounts of pressure, and for many women, it is after having children that the pelvic floor weakens and they experience prolapse. For others, it is after the menopause (when all muscles in the body naturally become weaker) that pelvic floor problems and prolapse occur. However, there are other factors that can make pelvic floor weakness even worse, such as being overweight, being prone to coughs due to being a smoker or having asthma, or if you have had a hysterectomy.

If you have been through a prolapse repair that was a result of any of these factors and are now fully recovered, you need to ensure your pelvic floor remains healthy with the following steps:

1. Do your pelvic floor exercises on a regular basis

Also known as kegels, pelvic floor exercises take a little practise to do right but are essential for maintaining a healthy pelvic floor. Make sure not to clench your buttocks as this is a sign that you’re working the wrong muscles; there are many great resources online to help you achieve the right technique.

2. Change your eating habits permanently

Maintaining a healthy weight is crucial for a healthy pelvic floor. Ensure you have a sensible diet in order to prevent weight gain, which puts undue pressure on the pelvic floor. Eating plenty of fibre and drinking lots of water also helps to prevent constipation, which is another cause of pelvic floor weakness.

3. Exercise regularly, but choose the right kind

Although rigorous exercises are tempting to keep excess weight at bay, it is essential to choose the right kind of exercise to avoid putting pressure on the pelvic floor. Squats, for example, put lots of pressure on the pelvic floor, and intense running can also cause problems. Focus on strengthening your core abdominal muscles, which are all linked to your pelvic floor. Pilates and yoga are both brilliant for those who have suffered from prolapse in the past.


How Sacrohysteropexy Can Transform You


Contrary to popular belief, the pelvic floor doesn’t consist just of muscle but also nerves, blood vessels, ligaments and connective tissue. If any of these structures becomes damaged, problems with support of the pelvic organs can result.

Up to nearly a third of women can be affected by a prolapse of the pelvic organs – a weakening of the tissues supporting the pelvic organs. It causes a number of symptoms, from problems during intercourse, a frequent need to pass urine, backache and recurrent urinary infections. Another issue can be stress incontinence when coughing, exercising or laughing.

The causes of a prolapse are equally varied, but two of the main ones include childbirth (responsible for around half of all prolapses) and hysterectomy. There is also some evidence that prolapses can run in families, while the menopause can also be a factor, as can constant straining resulting from chronic coughing or constipation.

While there are other solutions available, such as a vaginal pessary or support device, or oestrogens given to enhance the quality of the tissue, the most common form of treatment is to have surgery. That’s especially true when symptoms linger and are starting to affect a person’s quality of life.

Prolapse repair surgery is particularly recommended for women who have already tried prescribed pessaries, pelvic floor exercises, stopping smoking (to stop coughs) and weight loss, if that was needed.

What is a sacrohysteropexy?

Sacrohysteropexy is the name for the operation that will put your uterus back into its regular position. Only a very limited number of gynaecological surgeons will conduct this operation, and many GPs are not even aware that it is an option for treating a pelvic prolapse.

Unfortunately, in many cases, family doctors will instead put their patients forward for a hysterectomy. But, with a sacrohysteropexy, the woman keeps their uterus and so can go on to have children, or more children, if that is what they wish to do. That’s what makes a sacrohysteropexy a more agreeable form of pelvic floor repair surgery.

How it works

A keyhole surgical procedure is able to restore normality through the use of flexible mesh, which is used as a type of sling to hold the uterus in the right place permanently.

Because this is a laparascopical or keyhole procedure, no large incisions have to be made, so patients are not left with big scars on their stomach. The incisions fade over time, and are a lot less noticeable than conventional stomach scars. Instead, tiny incisions are made through which instruments can be fed, to the left of your tummy button, in the belly button and along the bikini line. The surgeon is then able to look around the pelvis via a screen.

A mesh, designed not to break down once it’s in the body, and which can stop scar tissue from forming, is inserted through the bikini line before one end is attached to the back of the cervix with minuscule needles. The other end is fixed to the tailbone with metal staples. The mesh encourages tissue growth, and doesn’t ever need to be fixed with further surgery – it can stay in place indefinitely.

As a laparoscopic procedure, sacrohysteropexy can be done very quickly under a general anaesthetic. Healing time is also very rapid for the small incisions, and what’s more, given that patients have a number of smaller cuts rather than a single big incision, pain and post-surgical discomfort are greatly reduced.

In no time at all, you will be on your feet and able to move around. No lengthy hospital stays are needed. One night away from home is usually all you will need to make a full recovery.

uterine prolapse

Knowing Uterine Prolapse Symptoms

Uterine problems can be difficult conditions to deal with both physically and mentally. Whilst not life-threatening, a uterine prolapse can cause extreme discomfort, stress and worry. What many people may not know is that uterine prolapse is very common and easily treatable; well understood surgical procedures can greatly improve quality of life immediately.

If you are worrying about your uterine health or experiencing discomfort, knowing the symptoms will help diagnose the problem and alleviate stress. Some women will experience several known symptoms, others only a single symptom, and in some cases none at all. If you are still concerned or experiencing uterine pain, seek the advice of a specialist gynaecologist, like Mr Jonathan Broome at The Pelvic Clinic.

So, let’s look at the symptoms associated with the onset or occurrence of a uterine prolapse:

– Pressure in the pelvic area
– Feeling that something is falling out of the vagina
– Feeling like the groin is being stretched or pulled
– Painful intercourse
– Backache
– Vaginal bleeding or spotting
– Inability to use tampons on account of the vagina being wider than usual
– Urinary incontinence or frequent urination
– Bladder leakage
– Constipation

If you are experiencing one or more of the above symptoms, don’t hesitate to seek the advice of a specialist gynaecologist.

You are not alone!

Almost 50% of women who go through childbirth will experience some degree of pelvic organ prolapse, and the condition becomes more common as women get older and go through the menopause. It is estimated that nearly one in ten women will undergo a surgical procedure during their lifetime in relation to a uterine condition.

Many people who experience uterine prolapse suffer by not seeking help, and in some cases, it can severely affect their quality of life. Yet with safe and modern surgical procedures, uterine prolapse is not a long-term or terminal problem. Women who undergo sacrohysteropexy procedures suffer no adverse effects; intercourse or childbirth can continue unhindered, with no recurrence of uterine prolapse.

Mr Jonathan Broome, a consultant gynaecologist, is one of the UK’s leading surgeons in the field of uterine health and is based at The Pelvic Clinic. If you are worried about uterine prolapse, are experiencing discomfort, or simply want more information and advice, feel free to get in touch to discuss your concerns. Stay healthy and happy.



Sacrohysteropexy: A Real Alternative to Hysterectomy

Childbirth and general ageing can have a serious impact on women’s gynaecological health, with many conditions being accompanied by the worry of needing to have the reproductive organs removed – a complete hysterectomy. As well as the emotional consequences of this major procedure, physical after effects can be severe and long-lasting. Recovery following a hysterectomy can be as difficult to deal with as the condition that it’s meant to solve.

What is uterine prolapse and why has it happened to me?

Uterine prolapse occurs when the uterus drops down into the vagina because of either loose pelvic muscles or weakened ligaments – or both. Around half of uterine prolapses happen as a result of the strain on the muscles supporting the female organs during pregnancy and childbirth. The other half of prolapses have causes such as age-related hormonal changes and associated loss of collagen, strenuous heavy lifting, long-term coughing or constipation, or being overweight.

What can I do about it? Do I need a hysterectomy?

Contrary to popular belief – and common medical practice – a hysterectomy is not the only solution available to women suffering from uterine prolapse. A number of other forms of prolapse surgery are available in many cases, one of which is sacrohysteropexy. This procedure offers a long-term solution to prolapse and works by lifting the uterus into its proper position with a strong mesh support. This enables women to lead full lives, without removal of internal organs and the physical and emotional after effects that this can bring.

Surgeon Mr Jonathan Broome operates The Pelvic Clinic out of BMI Beaumont, Euxton Hall and Fulwood Hall Hospitals, and his sacrohysteropexy success rate stands at 100% for over 1,000 women, many of whom would otherwise have been advised to have a hysterectomy.

What happens after the procedure?

Recovery times following sacrohysteropexy are quick, and women can resume most of their regular daily activities after as little as two weeks. Immediately following the operation you will need just the one overnight stay in hospital, after which you’ll be able to go home to recuperate in comfort. Unlike hysterectomy, sacrohysteropexy allows women who have suffered uterine prolapse to go on to lead normal lives, including successful pregnancies that otherwise would be unthinkable.

So if you think that we could help you, please contact us on 01204 722400 or you can email us for further information.