causes of prolapse

What causes a uterine prolapse?

Generally, a uterine prolapse occurs because the muscles which support the uterus lose strength. As these muscles weaken, they are unable to support the uterus effectively and, as a result, a prolapse occurs.

Prolapse staging allows medical professionals to determine the severity of the condition and provide an appropriate treatment plan. Patients with a grade 1 uterine prolapse may have milder symptoms, whereas patients suffering with a grade 3 prolapse may have a more severe condition and suffer more pronounced symptoms.

Many women suffer a prolapsed uterus after childbirth and it’s not uncommon for them to seek treatment for the condition. Whilst childbirth is a leading cause of uterine prolapse, it is not the only cause. Women without children can still experience a prolapse if there are other causes of muscle weakness present.

What are the most common prolapse symptoms?

Symptoms can vary between patients but some of the most common uterine prolapse symptoms are pain, discomfort and incontinence. As the uterus lacks support, increased pressure is placed on the surrounding areas and symptoms become apparent.

Although a uterine prolapse can be successfully treated, some women find the condition embarrassing and are somewhat reluctant to access medical assistance. Unfortunately, the symptoms can have a devastating impact on the patient and may restrict their activities considerably.

Is prolapse surgery available?

Hysterectomies are often offered to women as a form of prolapse surgery but they do have permanent consequences. Women will be unable to carry a child following a hysterectomy, for example. Due to this, it is an unsuitable form of treatment for many patients.

Fortunately, there is alternative surgery for prolapse problems. A sacrohysteropexy is less invasive than a hysterectomy and involves using medical mesh (introduced through keyhole ports and NOT vaginally) to support the uterus, rather than removing it.

As a leading surgeon, Mr. Jonathan Broome has performed over 1000 of these prolapse surgeries with a success rate of 100%. As a sacrohysteropexy provides a permanent solution to uterine prolapse and enables the patient to have children in the future, if they wish to do so, it is a more suitable form of treatment for many patients.

To find out more about the effectiveness of prolapse repair surgery, contact The Pelvic Clinic today on 01204 772400.

uterus pain

Dealing with uterus pain

For many women, uterus pain is a well-known symptom and something which often turns into an ongoing problem. Whilst a significant number of women do seek medical help for uterus problems, a solution isn’t always forthcoming.

Unfortunately, many women experience uterus pain for a long period of time before they are fully diagnosed or offered any treatment. As a result, their condition may have worsened before they receive treatment and they may be experiencing an increased number of side effects.

Does uterine prolapse pain always occur?

Uterine prolapse pain is certainly not uncommon but you won’t necessarily suffer pain if you’re experiencing a prolapse. Patients may present with side effects, such as discomfort or bleeding, but not report a significant amount of pain.

As every patient differs, not everyone will experience the same symptoms. Incontinence, for example, is a common symptom of a uterine prolapse but not every patient will suffer from this. Whilst many patients may experience uterine prolapse pain, the absence of significant pain shouldn’t exclude the possibility of a prolapse being the cause of your issues.

Undergoing prolapsed uterus surgery

If you’ve already been diagnosed with a prolapsed uterus, you may have been offered a hysterectomy. Whilst this is a viable form of treatment, many women are unaware that there is an alternative, less invasive treatment available.

A sacrohysteropexy, or prolapse repair, is a better form of treatment for many women, particularly if they would like to have children in the future. Whilst a hysterectomy removes the possibility of carrying a child, a sacrohysteropexy does not prevent the patient from conceiving or carrying a child.

Is a prolapse repair permanent?

When conducting a prolapse repair, the surgeon effectively repositions the uterus and ensures that it is held in place with a form of surgical mesh. Performed by a laparoscopic procedure, this offers women a permanent solution to a uterine prolapse. Important point to mention: Mr Broome inserts his mesh via tiny keyhole ports which is a clean method. Please do not confuse this with other ways of mesh introduction

Despite its success rate, many patients are still unaware that a sacrohysteropexy is a viable treatment option and many medical practitioners may not even be familiar with the procedure. As a less invasive form of treatment, with permanent results and a high success rate, however, a sacrohysteropexy is ideal for numerous women.

To find out more about prolapse repair surgery, contact The Pelvic Clinic today.

avoid hysterectomy for prolapse

Avoid a hysterectomy after a severe uterine prolapse

If you’re suffering from uterus problems or a uterine prolapse, you may have already consulted your GP or sought medical advice. In most instances, patients are advised that a hysterectomy is the only viable solution. Whilst a hysterectomy may alleviate uterus pain and provide an effective surgical solution to uterine prolapse pain, it certainly isn’t the only option available.

As many women are hesitant about undergoing a hysterectomy, they can be left with prolapse problems or uterine prolapse bleeding for months, or even years. With symptoms such as pain, discomfort and incontinence occurring because of a prolapse, the condition can affect every part of a patient’s life.

Are you a candidate for prolapse repair surgery?

Before considering a hysterectomy, why not look into the possibility of prolapse repair or sacrohysteropexy? Designed to deliver complete freedom from prolapse symptoms and uterine prolapse pain, a sacrohysteropexy is an extremely effective alternative.

Rather than undergoing a significant operation, as in the case of hysterectomies, prolapse repair surgery can be carried out laparoscopically. Generally, this means that the procedure itself takes a shorter amount of time and recovery time is significantly reduced.

Does a sacrohysteropexy offer a permanent solution?

As a form of prolapsed uterus surgery, a sacrohysteropexy provides an effective and permanent solution to prolapse problems. To date, Mr. Jonathan Broome, Consultant Gynaecologist at The Pelvic Clinic, has performed well over 1000 prolapse repair surgeries and has a 100% success rate.

For women who have spent years dealing with uterus pain, incontinence and discomfort, this type of prolapse repair surgery offers a new lease of life and a lifestyle free from pain.

Can you have children after a sacrohysteropexy?

When women of childbearing age are told a hysterectomy is the only way to alleviate prolapse symptoms, they can be left with an impossible choice. If they wish to conceive in the future, a hysterectomy clearly isn’t a viable solution to their medical condition.

Following a sacrohysteropexy, however, women will still be able to conceive and carry a child safely. As the uterus is stabilised, rather than removed, there is no barrier to conception or pregnancy. In fact, this form of prolapse repair surgery can even prevent a recurrence of the condition following childbirth.

To find out more about prolapse repair surgery, contact The Pelvic Clinic today on 01204 772400.

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.

Three prolapse remedies to try before applying for a Sacrohysteropexy

As you are probably aware, a Sacrohysteropexy operation can completely repair a prolapse and restore the sufferer’s quality of life. If you’re currently coping with the symptoms of a prolapse, this form of surgery is definitely worth considering. However, there are things that you can (and should) try before opting for surgery. Even though having a Sacrohysteropexy is safe and has surprisingly short recovery times, surgery is still a big step. Here at The Pelvic Clinic, we understand that minor prolapse symptoms can be treated less drastically. Here are some of the steps you can take to reduce or eliminate your symptoms before opting for surgery.

1. Pessaries

A pessary is a simple device that can be used to treat prolapse sufferers like you. They can support the uterus and other pelvic organs, giving you time to heal. Before considering surgery, talk to your doctor about whether a pessary might be right for you. If your symptoms can be treated by using a pessary, you should be able to obtain a prescription fairly easily. You might be surprised by how much difference they can make to your quality of life.

2. Pelvic floor exercises

Sometimes, minor prolapse symptoms can be treated simply by strengthening your pelvic floor. Performing exercises designed to bolster your pelvic muscles can alleviate or even eliminate prolapse symptoms. There are classes available that will teach you how to perform these exercises properly. Why not look for one in your area?

3. Weight loss

If you’re carrying a little extra weight, it can put a strain on your pelvic organs and cause a prolapse. Losing weight can reduce the pressure and give your pelvic organs the chance to recover, thus disposing of the prolapse. As always, we should stress that weight loss isn’t a viable option for everyone. For example, if you can’t lose weight for unrelated health reasons (such as thyroid disorders or a history of eating disorders), we don’t advise attempting to do so in order to heal a prolapse. However, if you are able to lose weight in a relatively safe and straightforward way, it can really help deal with a prolapse.

If all of these remedies fail, there’s no need to panic. The Sacrohysteropexy operation that we offer can help you. Just remember: it’s usually a good idea to try non-surgical remedies first. If you do need surgery to rectify your prolapse, contact us immediately.

Managing discomfort immediately after a sacrohysteropexy

In many respects, the sacrohysteropexy operation that we offer here at The Pelvic Clinic is superior to a traditional hysterectomy. Because we don’t remove any part of the womb, the operation doesn’t change the body significantly and it has a relatively short recovery time. However, as we’ve pointed out before on this blog, it is still a form of surgery, so you can’t expect to recover instantly. Therefore, immediately after the operation, you may experience some discomfort or mild pain. However, there are a number of common-sense steps that you can take to minimise this discomfort. We’ll run through some of them in today’s blog.

1. Take any painkillers that you are given after waking up from surgery

After the sacrohysteropexy operation, you will wake up with an oxygen mask over your face and a drip connected to your arm. There is no need for concern, as this is perfectly normal. However, it’s important that you take any painkillers that you are given while you are in this condition, as they will drastically minimise discomfort while you are in the hospital.

2. Opt for loose clothing

Before you go home, you’ll probably want to get changed into your own clothes. Tight-fitting clothes might be stylish, but they can put pressure on your pelvic area and abdomen, where our surgeon carried out your sacrohysteropexy. Obviously, these areas will be vulnerable to discomfort for a while following your surgery. That’s why we think it’s advisable for you to choose loose-fitting clothing that won’t put much pressure on any part of your body while you’re recovering from your operation. You might be surprised at how much difference a simple change to your outfit can make to your levels of post-surgery comfort. We also recommend that you continue to opt for loose clothes during your entire recovery period.

3. Arrange transport back from the hospital in advance

Most sacrohysteropexy patients can return home the day after their surgery. However, going home using public transport can be stressful and uncomfortable. You may be subjected to physical pressures that you wouldn’t have to deal with in your own vehicle. However, it’s obviously unsafe for you to drive immediately after surgery. Therefore, your best option is to ask a friend or family member to pick you up from the hospital and drop you off at home, thus minimising any transport-related discomfort. It’s usually best to arrange this in advance.

Most operations cause a small amount of pain or discomfort, but there’s no reason to be afraid. If you follow the sensible tips we’ve provided here, you’ll be able to minimise and manage your discomfort with ease. If you have any questions, please do not hesitate to ask.

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.

embarrassed by prolapse

The causes of stress incontinence and available treatments

According to the latest statistics, the number of women who suffer from stress incontinence is as high as 1 in 4. Stress incontinence happens because of pressure placed upon the abdomen and bladder, and can be due to a variety of reasons that include exercise, lifting heavy objects, as well as coughing and even sneezing.

What causes stress incontinence?

Stress incontinence is not caused by the ageing process, as many women in their late seventies and eighties do not have this condition. Stress incontinence happens because the pelvic floor muscles become damaged or weakened. These muscles are very important as they support both the urethra and bladder, as well as the sphincter muscles that form the opening of the bladder. All of these problems will cause urine to leak from the bladder. Common causes for stress incontinence in women include those of a vaginal birth, pregnancy, obesity, hysterectomy, Parkinson’s disease, Ehlers-Danlos syndrome, diuretics and antidepressants.

What treatment is available?

Depending upon the severity of the condition, and your medical history, there are a number of treatment routes available. These range from simple lifestyle changes right through to invasive surgery. With regards to lifestyle changes, it is often recommended that you try to reduce your daily fluid intake, to stop smoking and if you are a diabetic, to carefully monitor your blood sugar level. Training your pelvic floor muscles is also incredibly advantageous, as doing so can strengthen weakened muscles, helping the bladder to retain urine.

Surgical procedures for the treatment of stress incontinence

If stress incontinence is affecting your every day life and is causing pain and discomfort, then there are a few surgical procedures that are available. A surgical tape can be inserted into the urethra to help support the weakened muscles. A treatment known as colposuspension, that lifts the neck of the bladder, is also highly effective in stopping stress incontinence.

Mr Jonathan Broome of the The Pelvic Clinic is highly specialised in the surgical treatments for stress incontinence. To learn more about this type of surgical procedure, please do contact the clinic for a consultation.

young mother prolapse

Understanding prolapse after pregnancy

Many women experience uterine prolapse when the structures that support the pelvic organs are weakened. Usually, both a muscular band and ligaments support the organs, but prolapses occur when one of these support mechanisms can no longer perform properly. A common reason for this to happen is that the muscles are damaged during the act of childbirth and also as a result of the pressure that pregnancy puts on a woman’s body. Despite popular belief, it is an inaccurate assumption that uterine prolapse exclusively affects older women.

The transition to becoming a new parent is complex for every woman, but experiencing the symptoms of uterine prolapse can make it incredibly challenging.

First-time mothers can struggle to put a name to the sensations that they may feel. There is often a lack of knowledge and understanding surrounding some of the implications of childbirth amongst new mums. Uterus problems may be the furthest things from their mind as they get to grips with parenting during those first months but addressing pelvic pain should be a priority for all mothers. Knowing that uterine prolapse can occur and crucially that it can be treated is not well known enough amongst the parenting community. A timely consultation with a Consultant Gynaecologist such as Mr Johnathan Broome could provide great relief for mothers who suspect that they have a uterine prolapse.

The first course of action is to complete a three month programme of intensive pelvic floor physiotherapy. This is really important as it helps to strengthen the muscles and subsequently, push the organs correctly back into position. Many ladies do find that this is sufficient to repair their pelvic floor. For the minority though, these exercises do not fully repair their pelvic floor and so surgery is then an option.

A sacrohysteropexy, which is a surgical intervention to reposition the uterus and therefore correct the prolapse, can remove the need for a hysterectomy. This is something that is of great comfort to women who do not feel that their family is complete and indeed those who aren’t ready to embrace the consequences of a hysterectomy. This procedure is growing in popularity because it also involves only keyhole surgery, which ultimately carries a reduced risk in comparison to other more invasive procedures.

Jonathan Broome of The Pelvic Clinic is one of only a handful of surgical specialists in the UK who possess the expertise to perform sacrohysteropexy surgery. He has a growing number of ladies who have had this procedure and then continued to have another child without problems

We encourage all new mums to visit a specialist should they be experiencing symptoms of a uterine prolapse. Here at The Pelvic Clinic, we will address your concerns with great sensitivity while we identify the appropriate solutions that will enable you to embrace your role as a new parent without the worry and implications of an untreated prolapse.