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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.

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.

 

alternative decisions

There is another choice

For women who have been diagnosed with prolapse, any relief of the serious symptoms, which include stress incontinence, constipation, unexpected uterus pain and pelvic pressure, is welcome. Initial treatment for prolapse usually involves pelvic floor exercises or pessary replacement of the displaced uterus. However, if this fails, most women are offered a hysterectomy as a form of prolapse surgery.

Although a hysterectomy may seem worthwhile in order to relieve the associated symptoms of a prolapse, it is important to remember that this is a major operation that requires significant recovery time. As well as this, for fertile women who still want children, a hysterectomy would be a distressing choice.

Other procedures and options are not often discussed and so many women who suffer from prolapse are not aware of the alternative treatment of sacrohysteropexy. This is a form of prolapse repair that is performed as keyhole surgery with only two points of entry, near the belly button and on the bikini line, so is significantly less invasive than a hysterectomy. The process uses flexible mesh as a form of sling to correctly re-position the uterus and hold it securely in place. One end of the mesh is attached to the cervix, while the other end is attached to the sacrum. The repair is permanent, no further surgery is required and recovery time is much shorter than with a hysterectomy.

Mr Jonathan Broome, Consultant Gynecologist at The Pelvic Clinic, was one of the pioneers of sacrohysteropexy and is still one of the leading surgeons performing the procedure in the UK. He has performed well over 1,000 procedures at the Pelvic Clinic, with a 100% success rate.

As well as removing the need for major surgery, sacrohysteropexy means pregnancy is still possible after prolapse. So far, four of Mr Broome’s patients have successfully had a pregnancy after sacrohysteropexy.

If you’ve been diagnosed with prolapse, non-invasive treatments haven’t solved the problem and you want to avoid a hysterectomy, draw the attention of Jonathan Broome’s work in the field of sacrohysteropexy to your GP and request a referral. There is an alternative to hysterectomy.

 

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.

 

researching prolapse care

Should you start researching prolapse treatments even if you haven’t been affected yet?

Prolapses and stress incontinence can be unpleasant and embarrassing, so it’s understandable that you may not wish to think about them if you haven’t suffered from them yourself yet. However, they are not completely uncommon and are often caused or triggered by fairly ordinary, mundane factors and events.

Childbirth and the ageing process are often to blame for stress incontinence and prolapses, while obesity can increase the risk of one of these problems occurring. Long-term constipation and excessive manual labour can also raise your risk of suffering from a prolapse. So even if you haven’t suffered from a prolapse or stress incontinence, you may wish to start researching the problems and plan ahead in case you ever are affected by them.

It’s worth considering your lifestyle, your choices and your medical history to decide if you should prepare for a possible prolapse. If you are planning on having a child, for example, you need to consider the possibility that childbirth could trigger a prolapse. If you’re a little overweight or have suffered from chronic incontinence in the past, it’s worth accepting that these factors can increase the likelihood of having a prolapse and plan ahead accordingly.

If you do decide that you might be at risk of a prolapse in future, you should research the symptoms that you need to look out for. You should also look into the treatment options available and the recovery process that follows those treatments. This will enable you to spot when you need to undergo prolapse repair surgery and seek out the right course of treatment immediately if it does become necessary.

Pre-emptively researching prolapse and stress incontinence symptoms, treatments and recovery processes can also help set your mind at rest. If you’re worried about suffering from a prolapse or stress incontinence, learning about the available treatments can reassure you and show you that you don’t have to be overly concerned.

If you do wish to start researching prolapses and stress incontinence or planning ahead in case you are affected by them, you will find a lot of the information you need right here on our website. As experts in the field of prolapse repair, we can provide you with the best possible information and advice.

 

exercise for prolapse

Create a pelvic-healthy January exercise regime

If one of your New Year’s resolutions is to do more exercise, you may have already thrown yourself into a new sport or activity; the question is, do you know if your new exercise regime is good for your pelvic floor? No matter if you’re awaiting prolapse surgery or have undergone prolapse repair, it’s incredibly important that you choose the right types of exercise and physical activity to prevent worsening your prolapse problem. Here are our tips to help you set off on your January exercise regime in the healthiest way possible.

Consult your doctor before doing high impact exercise

Jogging, aerobics, Zumba and other similar high impact exercise can put a great deal of pressure on your pelvic floor and prolapse, so consult with your doctor to check that it will be safe for you. Your doctor may recommend that you limit weekly exercise sessions, or make you aware of activities that could be particularly harmful or beneficial for your unique circumstances.

Try yoga or Pilates

Yoga and Pilates are both gentle exercises that help you to strengthen your core, which is very important for pelvic floor strength. Plus, they help you to focus on slow, steady breathing as you move from pose to pose which is really important, since holding your breath during exertion can put extra pressure on the pelvic muscles.

Work with a personal trainer

A personal trainer will create a bespoke exercise regime that works for your body; if you make them aware of your prolapse problems or surgeries they will be able to guide you through specific routines that will strengthen your muscles without causing undue pressure or damage. They will also prevent you from overexerting yourself in particularly risky positions such as squats or lunges, something that can occur all too easily when following along in a group exercise class.

Alternate high and low impact exercise

Even if your doctor has given the go-ahead for you to do high impact exercise, you should make an effort to intersperse it with gentler activities that will give your core and pelvic muscles chance to rest and recuperate. Walking, gentle swimming and slow cycling are all great ways to get your body moving without too much overexertion, so be sure to do these activities in between high impact sessions.

If you need any advice or help regarding your own situation, please do not hesitate to contact us.

 

risk of prolapse

How to tell if you are at risk of prolapse

Childbirth can sometimes trigger a prolapse. In fact, it is the most common cause of prolapse by a significant margin. If you are pregnant, you may therefore want to find out if you’re at significant risk of suffering from a prolapse. There are several things you can do to assess your level of risk. Assessing your level of risk can help you decide if you need to take steps to protect yourself from this unfortunate medical phenomenon.

1. Talk to your GP

Certain pre-existing genetic conditions can increase your risk of prolapse. It’s therefore a good idea to talk to your GP and find out if there is anything in your medical history that would increase your level of risk. Your GP can also give you general advice about how at-risk you are based on other, more general factors. If you want a second opinion after you’ve spoken to your GP, you could always get in touch with Mr Jonathan Broome here at The Pelvic Clinic, who can give you advice based on the information you give him.

2. Weigh yourself

BMI can have an effect on the likelihood of prolapse. As a general rule, the heavier you are, the more you are at risk. Don’t worry: this blog isn’t going to nag you about losing weight. However, it is important to understand that if you are a bit on the heavy side, you are more likely to suffer a prolapse. Losing weight might therefore help set your mind at rest, especially if you are at risk of prolapse due to other factors.

3. Consider your age

Sadly, age affects us all. If you’re middle-aged or older, you are likely to have a higher risk of prolapse. Of course, if you’re not at risk from other factors and you’re very physically fit, your age may have less of an impact: it’s therefore important to consider it alongside your health and your other risk factors.

If you are at high risk of prolapse from childbirth, there are many courses of action you can take. For example, you may choose to lose weight or increase your physical fitness to reduce the risk of prolapse or you may choose to avoid the risks associated with childbirth by having a caesarean section. If, however, you do ultimately suffer from a prolapse, there’s no need to panic: we at The Pelvic Clinic are ready to help you with a simple, highly-successful prolapse repair operation.

sacrohysteropexy procedure

Your guide to preparing for prolapse repair surgery

Many patients feel nervous about going into hospital for prolapse repair treatment. This is perfectly understandable; any type of surgery is a little intimidating. What’s more, you may feel embarrassed about your prolapse, which can exacerbate your nervousness. However, there’s no need to feel uneasy; Mr Johnathon Broome has performed over 1000 prolapse repair operations and has a 100% success rate for Sacrohysteropexy operation. Nonetheless, there is plenty you can do yourself to ensure that the operation goes smoothly. Knowing what you have to do to prepare for your surgery well in advance and doing it in a calm, orderly fashion will help to guarantee the success of your operation and may help you feel more confident.

As many ladies come from all over the UK, we have an understanding of how to help you if you are travelling such distances. Firstly, your Sacrohysteropexy procedure will usually take place on a Thursday so that you have the rest of the day and by staying overnight, into Friday to recover. The large majority of ladies do leave hospital on the Friday to go home. However, some decide that whilst they don’t need to stay in hospital, they do stay nearby for an additional night and we have a couple of hotels that we can advise you about. This means that if you have come with a loved one, you can be together. Mr Broome can then ring you on the Saturday morning to check that you feel well enough to travel back. To date, everyone by this stage has returned home.

Once you get home, within a couple of days, you can gradually to start to be more active. Many women feel great immediately, others need a little more time to reach the same point. We have had ladies returning to the golf course after two weeks so all are different. The point to realise is that the Sacrohysterpexy has permanently secured your uterus and ensured that your pelvic floor can work effectively.

Prolapse repair operations of the kind we offer are generally very safe, so you have no reason to worry excessively about your surgery. However, by ensuring that you follow the correct procedures in the run-up to the operation, you can help our staff treat you and help yourself feel much less nervous. If you have any questions, please do not hesitate to contact us.

 

Prolapse Repair Operation: A Sacrohysteropexy

after sacrohysteropexyIf you’ve been diagnosed with a uterine prolapse, it’s likely you’re suffering from a great deal of pain and discomfort. This debilitating condition is experienced by thousands of women in the UK, yet many suffer in silence due to the intimate and sensitive nature of the illness. At The Pelvic Clinic, we aim to offer advice, support and above all else, medical care that can allow you to live a normal, pain-free life once again. Read on to learn how an operation for a prolapsed womb could help you.

Prolapse causes

Prolapse occurs when the tissue supporting the pelvic organs becomes weak and can no longer bear the weight of the organs. The most common cause of this is pregnancy and childbirth, when many of the muscles and ligaments supporting the pelvic organs are damaged and weakened. Another key factor is age; after the menopause, the body’s oestrogen levels diminish and the production of collagen, which is responsible for healthy, stretchy and strong muscles and ligaments, declines. Many women who have had children may not notice the symptoms of prolapse until later life when their muscles begin to weaken and symptoms increase.

Prolapse repair operation

Repairing a prolapse can be done in a number of different ways but one of the most successful methods is a procedure called sacrohysteropexy. This type of uterine prolapse operation involves repositioning the uterus and securing it via a flexible mesh that acts like a sling to permanently hold the uterus in place.

Sacrohysteropexy is suitable for women of all ages, is totally permanent, and does not require any further corrective procedures in future. Women can go on to have children after having this type of prolapsed womb operation without any problems.

The Pelvic Clinic’s surgeon: Mr Jonathan Broome

Mr Broome has a 100% success rate with the sacrohysteropexy procedure, which is proof of his skill and expertise in this kind of prolapse repair operation. He is highly regarded in his field and with his patients too, due to his empathy and kindness throughout his consultations. He has performed over 1,000 sacrohysteropexy operations, so you can rest assured that if you undergo this procedure at The Pelvic Clinic, you will be in the very best of hands.

Arrange your consultation

To learn whether you could be suitable for a prolapse repair operation at The Pelvic Clinic, please contact us to arrange an initial consultation and take your first step towards a pain-free future.